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Total thyroidectomy for benign thyroid disease

Q Liu1, G Djuricin, R A Prinz

  • 1Department of General Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Ill. 60612, USA.

Surgery
|February 11, 1998
PubMed
Summary
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Total thyroidectomy is a safe and effective treatment for benign thyroid disease, offering a low complication rate. This procedure helps avoid reoperation and future risks associated with conditions like nodular goiter and hyperthyroidism.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thyroid Surgery

Background:

  • Evaluating the safety and efficacy of total thyroidectomy for benign thyroid conditions.
  • Addressing the need for definitive treatment in patients with benign thyroid disease.

Purpose of the Study:

  • To assess the outcomes of total thyroidectomy in patients with benign thyroid disease.
  • To determine the complication rates and long-term safety of the procedure.

Main Methods:

  • Retrospective review of 106 consecutive patients undergoing total thyroidectomy for benign disease (1982-1995).
  • Analysis of indications including thyroid nodules (radiation history, bilateral), follicular neoplasm, and toxic goiter.
  • Inclusion of primary operations and completion reoperations for recurrent disease.

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Main Results:

  • Pathology confirmed benign nodular goiter, follicular adenoma, hyperplasia, and Hashimoto's thyroiditis.
  • Low complication rates: 1.9% hemorrhage, 2.8% unilateral recurrent laryngeal nerve (RLN) palsy (one permanent).
  • 8.5% early hypocalcemia, with no permanent hypoparathyroidism at follow-up.

Conclusions:

  • Total thyroidectomy effectively manages benign thyroid disease, preventing reoperation and future malignant changes.
  • Meticulous surgical technique ensures a low complication rate.
  • The procedure is safe and beneficial for bilateral benign thyroid disease.