Total thyroidectomy in non malignant goitre

الملخص EN

Background: total thyroidectomy is such a procedure where considerable controversy still exists with respect to use for bengin thyroid disease.

On other hand reoperation for recurrent disease carries a very significant risk of damage to both the recurrent laryngeal nerves and the parathyroid glands. Aim: this study aimed to evaluate the safety and efficacy of total thyroidectomy for Non-malignant thyroid disease. Patients and methods: In the period between 2000 and 2006, 162 total thyroidectomy for non-malignant goitre were done, 124 females and 38 males with a mean age of 41.5 years, 99.

Patients had Bilateral multi nodular goiter, 48 patients were Toxic goitre and 15 patients were chronic thyroiditis Results: Permanent hypoparathyroidism occurred in 1.2%, temporary hypocalcaemia occurred in 8%.

Hypocalcaemia was more common after surgery for toxic goitre than surgery for other diseases, permanent unilateral recurrent laryngeal nerve palsy occurred in 1.8%, the rate of post-operative hemorrhage was 1.2% and wound infection 1.8%, there was no postoperative mortality. Conclusion: Total thyroidectomy remove the pathologic process completely, lowers local recurrence rates and avoids the risks of reoperation total thyroidectomy is safe and can be carried out with low complication rates.