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The Thyroid Gland

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...

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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

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Total versus bilateral subtotal thyroidectomy for benign multi-nodular goiter.

Fatih Ciftci¹, Erdal Sakalli¹, Ibrahim Abdurrahman²

¹The School of Health Care Professions Avcılar, Istanbul Gelisim University Istanbul, Turkey.

International Journal of Clinical and Experimental Medicine

|June 12, 2015

Summary

Total thyroidectomy and bilateral subtotal thyroidectomy show similar low complication rates for benign multi-nodular goiter. Both procedures are safe, with no significant differences in nerve palsy or hypocalcemia observed.

Keywords:

Multi-nodular goiter complication subtotal thyroidectomy total thyroidectomy

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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

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Area of Science:

Endocrine Surgery
Surgical Oncology
Thyroidology

Background:

Benign multi-nodular goiter is a common endocrine condition.
Surgical management options include total and subtotal thyroidectomy.
Comparing complication rates is crucial for patient care.

Purpose of the Study:

To compare early-stage postoperative complications.
Evaluating total versus bilateral subtotal thyroidectomy.
Assessing safety and efficacy for benign multi-nodular goiter.

Main Methods:

Retrospective study of 409 patients.
Group 1: Total thyroidectomy (n=258).
Group 2: Bilateral subtotal thyroidectomy (n=151).

Main Results:

Recurrent laryngeal nerve palsy: 2.3% (total) vs. 1.9% (subtotal), P>0.05.
Hypocalcemia: 15.5% (total) vs. 17.8% (subtotal), P>0.05.
No significant differences in hematoma or infection rates.

Conclusions:

Total thyroidectomy demonstrates low complication rates.
It is a safe and effective procedure for benign multi-nodular goiter.
Comparable safety profiles to bilateral subtotal thyroidectomy.