Total or subtotal thyroidectomy in the management of multinodular goiter
العناوين الأخرى
إستئصال الكلى أم تحت الكلى في علاج الغدة الدرقية المتعددة الورم
المؤلف
المصدر
Suez Canal University Medical Journal
العدد
المجلد 10، العدد 2 (31 أكتوبر/تشرين الأول 2007)، ص ص. 139-146، 8ص.
الناشر
تاريخ النشر
2007-10-31
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : For a long time, subtotal thyroidectomy was considered the standard surgical approach for multinodular goiter ; however this concept started to change in favor of total thyroidectomy.
Many issues have been involved in that argument before rendering one operation superior to the other.
This work was conducted to compare between the two operations in terms of occurrence of postoperative morbidity and the functional outcome.
Methods : A total number of 106 patients with multinodular goiter were managed surgically in Suez Canal University hospital.
A group of 57 patients underwent subtotal thyroidectomy were compared with 49 patients who underwent total thyroidectomy.
The obtained data included patient demographics, operation type, pathology, hospital stay and post-operative early and late complications such ns recurrent laryngea] nerve palsy, parathyroid gland affection, wound infection, hematoma, rc-pperalion for hemorrhage, and death.
Results : There was no significant difference in the sex, age, duration of goiter or hormonal status between the two groups (P = 0.64, P = 0.73, P = 0.59 and P = 0.73, respectively).
The compression symptoms and recent enlargement of the gland represent the two main indications for surgery in both groups.
The mean operating time and the mean hospital slay was shorter in the subtotal group when compared with the total group but this was not statistically significant (P > 0.05).
The difference in the incidence of transient and permanent nerve palsy between the two groups was not statistically significant (P > 0.05).
The incidence of postoperative temporary hypocalcaemia was significantly higher in total thyroidectomy group (P= 0.02) while the incidence of permanent hypocalcaemia was not statistically significant between the two groups (P > 0.05).
Conclusion: The rate of permanent complications with total thyroidectomy is not greater than that of subtotal thyroidectomy so, it can be perfoimed safely and should be recommended as the procedure of choice for patients requiring surgical treatment for multinodular goiter.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hokkam, Imad Naim Muhammad. 2007. Total or subtotal thyroidectomy in the management of multinodular goiter. Suez Canal University Medical Journal،Vol. 10, no. 2, pp.139-146.
https://search.emarefa.net/detail/BIM-189081
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hokkam, Imad Naim Muhammad. Total or subtotal thyroidectomy in the management of multinodular goiter. Suez Canal University Medical Journal Vol. 10, no. 2 (Oct. 2007), pp.139-146.
https://search.emarefa.net/detail/BIM-189081
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hokkam, Imad Naim Muhammad. Total or subtotal thyroidectomy in the management of multinodular goiter. Suez Canal University Medical Journal. 2007. Vol. 10, no. 2, pp.139-146.
https://search.emarefa.net/detail/BIM-189081
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 144-145
رقم السجل
BIM-189081
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر