Less than total thyroidectomy (lobectomy, partial or subtotal thyroidectomy) is used mainly to treat thyroid nodules, and/or hyperthyroidism. Lately, there is a trend towards less extensive thyroid surgery even in cases of thyroid cancer. Complications such as recurrent laryngeal nerve injury and postoperative hypocalcemia have led the surgeons toward less extensive surgical practice, especially in cases of benign thyroid disease.
The main indications for surgical treatment of thyroid nodules are malignancy or lesions at increased risk of malignancy. Surgery is also recommended for a toxic nodule, compressive symptoms, growing nodules or patient’s anxiety about the nodule. AACE/AME/ACE guidelines published in 2010 recommend lobectomy as the preferred surgical method for uninodular benign goiter and suggest lobectomy or total thyroidectomy for follicular lesions, depending on the clinical situation and patient’s preference.( Gharib, …show more content…
Thyroid 26,1 –133 ).
A major concern limiting the use of total thyroidectomy is the potential for complications such as recurrent laryngeal nerve injury, hypocalcemia and the lifetime need of thyroxin supplementation. In view of the lack of consensus and the scarcity of available data relating to the efficacy of less than total thyroidectomy in the treatment of benign thyroid disease, we undertook a study to evaluate the effectiveness of this therapeutic approach for nodular disease, multinodular goiter as well as for hyperthyroidism.
The main goals of this study were to assess the long-term effects of less extensive surgical procedures and in particular, nodular recurrence in the remaining gland after less than total thyroidectomy and to identify potential predictive factors of recurrence. As maintaining normal thyroid function is frequently an issue after thyroidectomy, we also analyzed the need of thyroxin supplementation postoperatively as well as the frequency of
The main indications for surgical treatment of thyroid nodules are malignancy or lesions at increased risk of malignancy. Surgery is also recommended for a toxic nodule, compressive symptoms, growing nodules or patient’s anxiety about the nodule. AACE/AME/ACE guidelines published in 2010 recommend lobectomy as the preferred surgical method for uninodular benign goiter and suggest lobectomy or total thyroidectomy for follicular lesions, depending on the clinical situation and patient’s preference.( Gharib, …show more content…
Thyroid 26,1 –133 ).
A major concern limiting the use of total thyroidectomy is the potential for complications such as recurrent laryngeal nerve injury, hypocalcemia and the lifetime need of thyroxin supplementation. In view of the lack of consensus and the scarcity of available data relating to the efficacy of less than total thyroidectomy in the treatment of benign thyroid disease, we undertook a study to evaluate the effectiveness of this therapeutic approach for nodular disease, multinodular goiter as well as for hyperthyroidism.
The main goals of this study were to assess the long-term effects of less extensive surgical procedures and in particular, nodular recurrence in the remaining gland after less than total thyroidectomy and to identify potential predictive factors of recurrence. As maintaining normal thyroid function is frequently an issue after thyroidectomy, we also analyzed the need of thyroxin supplementation postoperatively as well as the frequency of