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[Basedow's disease--thyroidectomy or subtotal resection?]

T Böttger1

  • 1Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg Universität Mainz.

Zentralblatt Fur Chirurgie
|January 1, 1997
PubMed
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Near total thyroidectomy effectively treats Graves' disease with low complication rates. This study found excellent long-term outcomes, including minimal recurrence and manageable hypothyroidism, demonstrating surgical safety and efficacy.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thyroid Surgery

Background:

  • Graves' disease is an autoimmune disorder causing hyperthyroidism.
  • Near total thyroidectomy is a primary surgical treatment for Graves' disease.
  • Evaluating long-term outcomes and complications is crucial for surgical success.

Purpose of the Study:

  • To assess the postoperative complications and long-term results of near total thyroidectomy in patients with Graves' disease.
  • To determine the efficacy and safety of this surgical approach.

Main Methods:

  • Retrospective investigation of 73 patients who underwent near total thyroidectomy for Graves' disease.
  • Follow-up assessment of complications, recurrence, and thyroid function.
  • Median follow-up duration of 67 months.

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Main Results:

  • Low incidence of permanent complications: one recurrent nerve palsy and one case of hypoparathyroidism.
  • Minor postoperative issues included bleeding (2 patients) and wound infection (1 patient).
  • Excellent long-term outcomes with 89% patient follow-up, 3% recurrent hyperthyroidism, and 80% requiring thyroid hormone replacement (hypothyroidism).

Conclusions:

  • Near total thyroidectomy is an effective treatment for Graves' disease.
  • The procedure offers excellent long-term results with no mortality and low morbidity.
  • Careful patient selection and surgical technique contribute to favorable outcomes.