Total Thyroidectomy for Multinodular Goiter. Possibility of Implementation in a District Hospital

• Authors: Wojciech Cichoń , Grzegorz Walencik , Wojciech Gierczak , Krzysztof Aksędowski , Jerzy Bucki , Stanisław Cichoń
• Languages of publication: EN

Abstracts

EN

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.

Keywords

EN

thyroid; total; thyroidectomy; multinodular; goiter

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 2
• Pages: 53-57

Dates

published

1 - 02 - 2013

online

22 - 03 - 2013

Contributors

author

Wojciech Cichoń

• Department of General Surgery, District Hospital in Proszowice Kierownik: dr n med. J. Bucki

author

Grzegorz Walencik

• Department of General Surgery, District Hospital in Proszowice Kierownik: dr n med. J. Bucki

author

Wojciech Gierczak

• Department of General Surgery, District Hospital in Proszowice Kierownik: dr n med. J. Bucki

author

Krzysztof Aksędowski

• Department of General Surgery, District Hospital in Proszowice Kierownik: dr n med. J. Bucki

author

Jerzy Bucki

• Department of General Surgery, District Hospital in Proszowice Kierownik: dr n med. J. Bucki

author

Stanisław Cichoń

• Department of General Surgery, District Hospital in Proszowice Kierownik: dr n med. J. Bucki

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Identifiers

DOI

10.2478/pjs-2013-0010