SHOULD WE PREFER TOTAL TO NEAR-TOTAL THYROIDECTOMY IN DIFFUSE THYROID DISORDERS?
Aybala Ağaç Ay, Suat Kutun, Haluk Ulucanlar, Ahmet Ay, Oğuz Tarcan, Abdullah Demir, Abdullah ÇetinABSTRACT
Material and Method: During the period from 2004 to 2009, 417 thyroidectomies were performed in Ankara Oncology Hospital at Department of 1st General Surgery. 181 were total and 120 were near-total thyroidectomies. During this same period 116 completion thyroidectomy performed. The complications investigated are tracheostomy performed due to recurrent laryngeal nerve palsy, temporary hypocalcemia, permanent hypocalcemia, temporary vocal cord dysfunction, permanent vocal cord dysfunction, postoperative hematoma and postoperative death.
Results: In our study analysis between total ve near-total thyroidectomy groups in respect to tracheostomy (1.10%/ 0.8%; p=0,81), temporary hypocalcemia (8.84%/10%; p=0.734), permanent hypocalcemia (0.55%/0.8%; p>0.05), temporary vocal cord dysfunction (9.94%/11.7%; p=0.635) and permanent vocal cord dysfunction (p>0.05) showed no statistically significant difference.On the other hand, analysis between total and completion thyroidectomy groups in respect to tracheostomy (1.10%/15.5%; p<0.001), temporary hypocalcemia (8.84%/46.6%; p<0.001) , temporary vocal cord dysfunction (9.94%/37.9; p<0.001) and permanent vocal cord dysfunction showed statistically significant difference. There was no statistically significant difference between groups in respect to permanent hypocalcemia (p>0.05). Evaluation could not be performed in respect to postoperative hematoma and death due to absence of those.
Conclusion: This data suggest that total thyroidectomy is a safe procedure in the hands of experienced surgeons. Based on our study we think that it may be safer to prefer total thyroidectomy to near-total thyroidectomy when there is a thyroid disease which effects the whole gland in order to avoid the high complication risk of the reoperative thyroid surgery.
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Pubmed Style
Aybala Ağaç Ay, Suat Kutun, Haluk Ulucanlar, Ahmet Ay, Oğuz Tarcan, Abdullah Demir, Abdullah Çetin. [SHOULD WE PREFER TOTAL TO NEAR-TOTAL THYROIDECTOMY IN DIFFUSE THYROID DISORDERS?]. Nobel Med 2013; 9(1): 100-105, English. -
Web Style
Aybala Ağaç Ay, Suat Kutun, Haluk Ulucanlar, Ahmet Ay, Oğuz Tarcan, Abdullah Demir, Abdullah Çetin. [SHOULD WE PREFER TOTAL TO NEAR-TOTAL THYROIDECTOMY IN DIFFUSE THYROID DISORDERS?]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], English. -
AMA (American Medical Association) Style
Aybala Ağaç Ay, Suat Kutun, Haluk Ulucanlar, Ahmet Ay, Oğuz Tarcan, Abdullah Demir, Abdullah Çetin. [SHOULD WE PREFER TOTAL TO NEAR-TOTAL THYROIDECTOMY IN DIFFUSE THYROID DISORDERS?]. Nobel Med 2013; 9(1): 100-105, English. -
Vancouver/ICMJE Style
Aybala Ağaç Ay, Suat Kutun, Haluk Ulucanlar, Ahmet Ay, Oğuz Tarcan, Abdullah Demir, Abdullah Çetin. [SHOULD WE PREFER TOTAL TO NEAR-TOTAL THYROIDECTOMY IN DIFFUSE THYROID DISORDERS?]. Nobel Med (2013); 9(1): 100-105, [cited Mayıs 24, 2021], English. -
Harvard Style
Aybala Ağaç Ay, Suat Kutun, Haluk Ulucanlar, Ahmet Ay, Oğuz Tarcan, Abdullah Demir, Abdullah Çetin. (2013) [SHOULD WE PREFER TOTAL TO NEAR-TOTAL THYROIDECTOMY IN DIFFUSE THYROID DISORDERS?]. Nobel Med, 9(1): 100-105, English.