Total Thyroidectomy for Multinodular Goiter. Possibility of Implementation in a District Hospital
Journal Title: Polish Journal of Surgery - Year 2013, Vol 85, Issue 2
Abstract
Increasing number of surgical subspecialities causes general surgeons have little experience with more complex procedures as total thyroidectomy. The aim of the study was to present the outcome of total thyroidectomy following its implementation in a district hospital where such procedure has not been performed previously. Material and methods. 293 patients were operated on for goiter between 01.10.2008 and 30.09.2011 in the District Hospital in Proszowice by one contracted endocrine surgeon. Hemithyroidectomy was performed in 75 (23.7%) patients and total thyroidectomy in 191 (76.3%) patients for multinodular goiter and only the latter group was subjected for further analysis. Results. There were no bilateral recurrent laryngeal nerve palsy. A unilateral transient recurrent laryngeal nerve palsy occured in 6 patients (3.1%; 1.5% per risk) and postoperative hypocalcemia in 29 (15.7%) patients. 2 (1%) patients required wound revision due to a postoperative bleeding. Postoperative pathology revealed in 12 (6.2%) patients differentiated thyroid cancer. Conclusions. 1. Total thyroidectomy in a district hospital is still a safe way to operate on thyroid for nonmalignant disorders with low number of complications. 2. Total thyroidectomy is a definite surgical treatment in patients diagnosed by postoperative pathology with differentiated thyroid cancer.
Authors and Affiliations
Wojciech Cichoń, Grzegorz Walencik, Krzysztof Aksędowski, Jerzy Bucki, Stanisław Cichoń
Keywords
Related Articles
- EP ID EP74532
- DOI 10.2478/pjs-2013-0010
- Views 126
- Downloads 0
Splenic tuberculosis: a comprehensive review of literature
Tuberculosis(TB) is one of the most common infections affecting the population in the developing countries. With the rising human immunodeficiency(HIV) infection its incidence is on a rise even in the developed countries...
The -2518 A/G MCP-1 polymorphism as a risk factor of inflammatory bowel disease
Inflammatory bowel diseases (IBD) are disorders originated from immune disturbances. The aim of the study was to evaluate the association between the -2518 A/G MCP-1 polymorphism and the risk of IBD development. Material...
Effects of gelatine-coated vascular grafts on human neutrophi
The aim of the study was to investigate the immune-modulatory potential of commercially available PTFE and polyester vascular grafts with and without gelatine-coating. The biomaterial-cell-interaction was characterized b...
Giant epidermal cyst of the occipital area
Epidermal cyst is the most commonly observed cutaneous tumor. It usually involves the scalp, neck, face, back, and trunk. A commonly seen epidermal cyst is usually a slow-growing tumor of a diameter of 1-2 cm. Cysts with...
Analiza wybranych czynników warunkujących jakość życia pacjentów po amputacji kończyny dolnej – przegląd literatury
Amputacja kończyny dolnej jest zabiegiem okaleczającym, przyczyniającym się do zaburzeń sfer zarówno fizycznej, jak i psychicznej pacjenta. Dlatego tak ważne jest zapewnienie kompleksowej opieki zdrowotnej. Pacjenci oraz...