Total Thyroidectomy for Benign Thyroid Disease_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

SU Qinghua ¹ , PAN Xiaoming ² , WU Xuanlin. ¹

Department of General Surgery,The Second Hospital, Xi’an Jiaotong University, Xi’an 710004, China;

Corresponding author：

Keywords：

Total thyroidectomy Benign thyroid disease Complication

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【Abstract】Objective To investigate the safety and clinical significance of total thyroidectomy performed for benign thyroid disease.
Methods Eighty-eight patients with benign thyroid disease were treated with total thyroidectomy. The postoperative complications were analyzed.
Results With primary total thyroidectomy, the incidences of transient hypocalcemia and transient recurrent laryngeal nerve paralysis were 2.5% and 1.2% respectively. The incidences after reoperation were 28.6%（P＜0.05）and 28.6%（P＜0.01）respectively. No patients had permanent hypoparathyroidism and permanent recurrent laryngeal nerve injury.
Conclusion Total thyroidectomy can be performed safely. It can avoid reoperation for the recurrence caused by the remainder thyroid.

Citation： SU Qinghua,PAN Xiaoming,WU Xuanlin.. Total Thyroidectomy for Benign Thyroid Disease. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(6): 493-495. doi: Copy

1.	Friguglietti CU, Lin CS, Kulcsar MA. Total thyroidectomy for benign thyroid disease [Ｊ]. Laryngoscope, 2003; 113(10)∶ 1820.
2.	Bellantone R, Lombardi CP, Bossola M, et al. Total thyroidectomy for management of benign thyroid disease: review of 526 cases. World J Surg, 2002; 26(12)∶1468.
3.	Muller PE, Kabus S, Robens E, et al. Indications, risks, and acceptance of total thyroidectomy for multinodular benign goiter [Ｊ]. Surg Today, 2001; 31(11)∶958.
4.	李树玲. 甲状腺外科的现状与展望 [Ｊ]. 中国普外基础与临床杂志, 2003; 10(3)∶209.
5.	张德恒. 碘源性甲状腺良性疾病外科治疗的再认识 [Ｊ]. 外科理论与实践, 2003; 8(4)∶295.
6.	Menegaux F, Turpin G, Dahman M, et al. Secondary thyroidectomy in patients with prior thyoid surgery for benign disease: a study of 203 cases [Ｊ]. Surgery, 1999; 125(3)∶479.
7.	Reeve TS, Delbridge L, Cohen A, et al. Total thyroidectomy. The preferred option for multinodular goiter [Ｊ]. Ann Surg, 1987; 206(6)∶782.
8.	Rojdmark J, Jarhult J. High long term recurrence rate after subtotal thyroidectomy for nodular goitre [Ｊ]. Eur J Surg, 1995; 161(10)∶725.
9.	Kasuga Y, Sugenoya A, Kobayashi S, et al. Significance of values of thyrotropin binding inhibitor immunoglobulins and appearance of intrathyroidal lymphocytes at subtotal thyroidectomy for Graves’ disease [Ｊ]. J Am Coll Surg, 1994; 178(6)∶589.
10.	Kasuga Y, Kobayashi S, Fujimori M, et al. Changes in thyroid function and immunological parameters long after subtotal thyroidectomy for Graves’ disease [Ｊ]. Eur J Surg, 1998; 164(3)∶173.

1. Friguglietti CU, Lin CS, Kulcsar MA. Total thyroidectomy for benign thyroid disease [Ｊ]. Laryngoscope, 2003; 113(10)∶ 1820.
2. Bellantone R, Lombardi CP, Bossola M, et al. Total thyroidectomy for management of benign thyroid disease: review of 526 cases. World J Surg, 2002; 26(12)∶1468.
3. Muller PE, Kabus S, Robens E, et al. Indications, risks, and acceptance of total thyroidectomy for multinodular benign goiter [Ｊ]. Surg Today, 2001; 31(11)∶958.
4. 李树玲. 甲状腺外科的现状与展望 [Ｊ]. 中国普外基础与临床杂志, 2003; 10(3)∶209.
5. 张德恒. 碘源性甲状腺良性疾病外科治疗的再认识 [Ｊ]. 外科理论与实践, 2003; 8(4)∶295.
6. Menegaux F, Turpin G, Dahman M, et al. Secondary thyroidectomy in patients with prior thyoid surgery for benign disease: a study of 203 cases [Ｊ]. Surgery, 1999; 125(3)∶479.
7. Reeve TS, Delbridge L, Cohen A, et al. Total thyroidectomy. The preferred option for multinodular goiter [Ｊ]. Ann Surg, 1987; 206(6)∶782.
8. Rojdmark J, Jarhult J. High long term recurrence rate after subtotal thyroidectomy for nodular goitre [Ｊ]. Eur J Surg, 1995; 161(10)∶725.
9. Kasuga Y, Sugenoya A, Kobayashi S, et al. Significance of values of thyrotropin binding inhibitor immunoglobulins and appearance of intrathyroidal lymphocytes at subtotal thyroidectomy for Graves’ disease [Ｊ]. J Am Coll Surg, 1994; 178(6)∶589.
10. Kasuga Y, Kobayashi S, Fujimori M, et al. Changes in thyroid function and immunological parameters long after subtotal thyroidectomy for Graves’ disease [Ｊ]. Eur J Surg, 1998; 164(3)∶173.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Total Thyroidectomy for Benign Thyroid Disease

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