SavedAdd your journal

Journals / Endokrinolojide Diyalog Dergisi / 2009 / Cilt: 6 - Sayı: 2

The preferred surgical treatment for bilateral multinodular goiter

Multinodüler guatrda cerrahi tedavi seçim

Bülent ÇİTGEZ
Arslan ÇOBAN
Murat ÖZKAYNAK
Adnan İŞGÖR
Mehmet ULUDAĞ
Gürkan YETKİN
Pages
72–77
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The incidence of transient vocal cord palsy in BST group was significantly higher than in TT group (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Ideal management of multinodular goiter is still controversial.
📊
Key Findings & Data:From January 1997 to December, 282 patients with BMNG who were included in this study.
💡
Conclusion & Impact:The incidence of transient vocal cord palsy in BST group was significantly higher than in TT group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Ideal management of multinodular goiter is still controversial. The aims of this study was to evaluate the results of various thyroid operations for managing bilateral multinodular goiter (BMNG). From January 1997 to December, 282 patients with BMNG who were included in this study. There were 69 patients in total thyroidectomy (TT) group, 23 patients in near-total thyroidectomy (NTT) group, 122 patients in Dunhill procedure (DP) group, 105 (28.6%) patients in bilateral subtotal thyroidectomy (BST) group. The incidence of transient hypoparathyroidism, permanent hypoparathyroidism, transient vocal cord palsy, permanent vocal cord palsy and hematoma were 18.6%, 0%, 4.3%, 0%, 1.4% in TT group, 8.7%, 0%, 0%, 0%, 0% in NTT group, 4.1%, 1%, 2.1%, 1%, 0% in DP group, 3.3% 0%, 12.9%, 1.1%, 1.1% in BST group, respectively. The incidence of transient vocal cord palsy in BST group was significantly higher than in TT group (p

Özet

Multinodüler guatrın (MNG) cerrahi tedavisi konusunda tartışmalar halen devam etmektedir. Biz bu çalışmada bilateral MNG'nin tedavisinde değişik ameliyat tiplerinin sonuçlarını değerlendirmeyi amaçladık. 1997- 2004 tarihleri arasında kliniğimizde bilateral MNG'li 282 hasta opere edildi. Altmış dokuz total tiroidektomi (TT), 23 totale yakın tiroidektomi (TYT), 97 total lobektomi+subtotal lobektomi (Dunhill prosedürü) (DP), 93 bilateral subtotal tiroidektomi (BST) uygulandı. TT, TYT, DP, BST'de sırası ile komplikasyon oranları; geçici hipokalsemi %18.6, %8.7, %4.1, %3.3, geçici vokal kord paralizisi %4.3, %0, %2.1, %12.9, hematom %1.4, %0, %0, %1.1, kalıcı hipokalsemi %0, %0, %1, %0, kalıcı vokal kord paralizisi %0, %0, %1, %1.1 idi. Geçici vokal kord paralizisi oranı BST grubunda TT'ye göre anlamlı olarak yüksekti (p

🔖

Cite This Article

ÇİTGEZ, B., ÇOBAN, A., ÖZKAYNAK, M., İŞGÖR, A., ULUDAĞ, M., YETKİN, G. (2022). The preferred surgical treatment for bilateral multinodular goiter. Endokrinolojide Diyalog Dergisi, Cilt: 6 - Sayı: 2, 72–77. https://ajindex.com/articles/500825

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Agarwal G, Aggarwal V. Is total thyroidectomy the surgical procedure of choice for benign multinodular goiter? An evidence- based review. World J Surg 2008;32:1313-24
  2. Reeve TS, Delbridge L, Cohen A, Crummer P. Total thyroidectomy. The preferred option for multinodular goiter. Ann Surg 1987;206:782-6
  3. Delbridge L, Guinea AI, Reeve TS. Total thyroidectomy for bilateral benign multinodular goiter: Effect of changing practice. Arch Surg 1999;134:1389-93
  4. Erbil Y, Barbaros U, Salmaslioğlu A, Yanik BT, Bozbora A, Ozarmağan S. The advantage of near-total thyroidectomy to avoid postoperative hypoparathyroidism in benign multinodular goiter. Langenbecks Arch Surg 2006;391:567-73
  5. Vaiman M, Nagibin A, Hagag P, Buyankin A, Olevson J, Shlamkovich N. Subtotal and near total versus total thyroidectomy for the management of multinodular goiter. World J Surg 2008;32:1546-51
  6. Thomusch O, Sekulla C, Dralle H. Is primary total thyroidectomy justified in benign multinodular goiter? Results of a prospective quality assurance study of 45 hospitals offering different levels of care. Chirurg 2003;74:437-43
  7. Koyuncu A, Dökmetas HS, Turan M, et al. Comparison of different thyroidectomy techniques for benign thyroid disease. Endocr J 2003;50:723-7
  8. Ozbas S, Kocak S, Aydintug S, Cakmak A, Demirkiran MA, Wishart GC. Comparison of the complications of subtotal, near total and total thyroidectomy in the surgical management of multinodular goitre. Endocr J 2005;52:199-205
  9. Tezelman S, Borucu I, Senyurek Giles Y, Tunca F, Terzioglu T. The change in surgical practice from subtotal to neartotal or total thyroidectomy in the treatment of patients with benign multinodular goiter. World J Surg 2008 Oct 29. [Epub ahead of print] 10. Unalp HR, Erbil Y, Akguner T, Kamer E, Derici H, Issever H. Does near total thyroidectomy offer advantage over total thyroidectomy in terms of postoperative hypocalcemia? Int J Surg 2008 Dec 7. [Epub ahead of print] 11. Giles Y, Boztepe H, Terzioglu T, Tezelman S. The advantage of total thyroidectomy to avoid reoperation for incidental thyroid cancer in multinodular goiter. Arch Surg 2004;139:179-82
  10. Foster RS Jr. Morbidity and mortality after thyroidectomy. Surg Gynecol Obstet. 1978;146:413-29
  11. Ríos A, Rodríguez JM, Galindo PJ, Montoya MJ, Canteras M, Parrilla P. Surgical treatment of multinodular goiter in young patients. Endocrine 2005;27:245-52
  12. Thomusch O, Machens A, Sekulla C, et al. Multivariate analysis of risk factors