Authors: B Rumstadt B Klein H Kirr N Kaltenbach W Homenu D Schilling
Publish Date: 2008/10/09
Volume: 32, Issue: 12, Pages: 2627-2630
Abstract
A total of 253 cases presented with goiters grade III WHO classification were operated on 134 hemithyroidectomies 108 hemithyroidectomies combined with subtotal contralateral resection and 11 total thyroidectomies were performed The recurrent laryngeal injury rate was 08 and the reexploration rate for bleeding was 12 Median hospital stay was 31 days Histological examinations showed Graves’ disease in 6 cases and multinodular goiter in 231 cases Follicular cancer was found in 15 cases and anaplastic carcinoma was found in 1 caseThyroid surgery can be performed with low complication rates under basic surgical conditions Because of the size and pathology of the goiters total thyroidectomy is the method of choice However considering the risk of the development of hypothyroidism due to poor understanding or difficult access to medication a limited resection eg hemithyroidectomy is the most optimal operative strategy
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