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Journals / Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2008 / Cilt: 48 - Sayı: 4

Different surgical techniques and results with comparasion in multinodular goitre

Multinodular guatrda farklı cerrahi teknikler ve karşılaştırmalı sonuçları

Ender DULUNDU
Ümit TOPALOĞLU
Yahya ÖZEL
Samet YARDIMCI
Fügen Vardar AKER
Erkan ÖZKAN
Pages
229–235
Publication Date
2022-10-17
DOI
—
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AI Summary & Key Takeaways

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

We recommend to perform NTT and TT in MNG because of the risks of recurrence and occult malignany.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In this study we aimed to compare the types and results of surgical techniques performed for multinodular goiter (MNG) in our surgical department between December 2003 and January 2007.
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Key Findings & Data:One hundred and sixty-seven patient operated for MNG in our clinic were evaluated.
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Conclusion & Impact:We recommend to perform NTT and TT in MNG because of the risks of recurrence and occult malignany.
🔬Design:Research Article
📍Scope:2003 Verileri
⚙️Variables:Domain Parameters

Abstract

In this study we aimed to compare the types and results of surgical techniques performed for multinodular goiter (MNG) in our surgical department between December 2003 and January 2007. One hundred and sixty-seven patient operated for MNG in our clinic were evaluated. Patients were classified into 3 groups according to the operation performed, as bilateral subtotal thyroidectomy (BST), near total thyroidectomy (NTT) and total thyroidectomy (TT) groups. They were evaluated for age of the patient, temporary and permanent hypothyroidism and recurrent laryngeal nerve (RLN) palsy, wound infection, hematoma, hospital stay, mortality and causes of reoperation. Operations were for MNG in 104 patients (62.29 %), toxic MNG in 34 (20.36 %), Graves Disease in 16 (9.58 %), thyroid cancer in 10 (5.98 %) and recurrence in 3 (1.79 %).Temporary hypocalcemia was the most common complication (30 cases, 17.96 %). All were temporary none of patients in our study had bilateral paralysis of vocal cords. Hospital stay in TT group was longer than in BST group and it was statistically significant (p< 0.05 ). We recommend to perform NTT and TT in MNG because of the risks of recurrence and occult malignany.

Özet

Bu çalışmanın amacı Aralık 2003-Ocak 2007 tarihleri arasında cerrahi kliniğimizde multinodüler guatr (MNG) nedeniyle uygulanan cerrahi tekniklerin tiplerini ve sonuçlarını karşılaştırmaktır. Kliniğimizde MNG nedeniyle opere edilen 167 hasta değerlendirildi. Vakalar yapılan operasyona göre; bilateral subtotal tiroidektomi (BST), totale yakın tiroidektomi (TYT) ve total tiroidektomi (TT) olarak 3 grupta sınışandırıldı. Her gruptaki vakalar yaş, geçici ve kalıcı hipotiroidizm, rekürren laryngeal sinir (RLN) paralizisi, yara yeri infeksiyonu, hematom, hastanede kalış süresi, mortalite ve reoperasyon nedenleri yönünden de- ğerlendirildi.104 (%62.29) hasta MNG, 34 (%20.36) hasta toksik multinoduler guatr, 16 (%9.58) hasta Graves hastalığı 10 (%5.98) hasta tiroid kanser ve 3 (%1.79) hasta nüks sebebiyle ameliyat edildi. Hipokalsemi en sık görülen komplikasyondu ve tüm gruplarda geçici görüldü. (30 olgu, %17.96). Hastaları n hiçbirinde bilateral vokal kord paralizisi görülmedi. Hastanede kalış süresi TT grubunda BST grubuna göre istatiksel olarak anlamlı derecede daha uzun olarak bulundu (p_ 0.05 ). Gizli malignite ve nüks etme riskinden dolayı MNG’da TT ve TYT yapı lmasını önermekteyiz.

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Cite This Article

DULUNDU, E., TOPALOĞLU, Ü., ÖZEL, Y., YARDIMCI, S., AKER, F. V., ÖZKAN, E. (2022). Different surgical techniques and results with comparasion in multinodular goitre. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 48 - Sayı: 4, 229–235. https://ajindex.com/articles/535540

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