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A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole
BACKGROUND: The aim of this prospective randomized study was to evaluate the feasibility of subtotal thyroidectomy with leaving a unilateral remnant based on the upper pole. METHODS: Patients who underwent the subtotal thyroidectomy and isthmusectomy leaving either a unilateral remnant based on the...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312989/ https://www.ncbi.nlm.nih.gov/pubmed/28178132 http://dx.doi.org/10.1097/MD.0000000000005919 |
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author | Liu, Yu Liu, Bin Liu, Rui-Lei Jiang, Hua Huang, Ze-Nan Huang, Yong |
author_facet | Liu, Yu Liu, Bin Liu, Rui-Lei Jiang, Hua Huang, Ze-Nan Huang, Yong |
author_sort | Liu, Yu |
collection | PubMed |
description | BACKGROUND: The aim of this prospective randomized study was to evaluate the feasibility of subtotal thyroidectomy with leaving a unilateral remnant based on the upper pole. METHODS: Patients who underwent the subtotal thyroidectomy and isthmusectomy leaving either a unilateral remnant based on the upper pole (Group I, 79 patients) or the bilateral dorsal thyroid tissue remained (Group II, 89 patients) were compared in operation time, blood loss, recurrence, and postoperative complications. RESULTS: Among 168 patients analyzed, the operation time remained similar, but the blood loss, the reoperation time, and recurrence in Group I were much less than Group II. In addition, no postoperative hemorrhage occurred in Group I. Two patients (2.28%) in Group II underwent recurrent laryngeal nerve damages. Four patients (5.06%) in Group I and 3 patients (3.37%) in Group II experienced transient hypocalcemia. Recurrence only occurred in Group II. CONCLUSION: In terms of blood loss, reoperation time, postoperative complication, and the recurrence, subtotal thyroidectomy with recurrent laryngeal nerves identification and the unilateral superior pole remnant of the gland provides a better outcome than subtotal thyroidectomy with bilateral dorsal thyroid tissue remnant. |
format | Online Article Text |
id | pubmed-5312989 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-53129892017-02-21 A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole Liu, Yu Liu, Bin Liu, Rui-Lei Jiang, Hua Huang, Ze-Nan Huang, Yong Medicine (Baltimore) 7100 BACKGROUND: The aim of this prospective randomized study was to evaluate the feasibility of subtotal thyroidectomy with leaving a unilateral remnant based on the upper pole. METHODS: Patients who underwent the subtotal thyroidectomy and isthmusectomy leaving either a unilateral remnant based on the upper pole (Group I, 79 patients) or the bilateral dorsal thyroid tissue remained (Group II, 89 patients) were compared in operation time, blood loss, recurrence, and postoperative complications. RESULTS: Among 168 patients analyzed, the operation time remained similar, but the blood loss, the reoperation time, and recurrence in Group I were much less than Group II. In addition, no postoperative hemorrhage occurred in Group I. Two patients (2.28%) in Group II underwent recurrent laryngeal nerve damages. Four patients (5.06%) in Group I and 3 patients (3.37%) in Group II experienced transient hypocalcemia. Recurrence only occurred in Group II. CONCLUSION: In terms of blood loss, reoperation time, postoperative complication, and the recurrence, subtotal thyroidectomy with recurrent laryngeal nerves identification and the unilateral superior pole remnant of the gland provides a better outcome than subtotal thyroidectomy with bilateral dorsal thyroid tissue remnant. Wolters Kluwer Health 2017-02-10 /pmc/articles/PMC5312989/ /pubmed/28178132 http://dx.doi.org/10.1097/MD.0000000000005919 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 7100 Liu, Yu Liu, Bin Liu, Rui-Lei Jiang, Hua Huang, Ze-Nan Huang, Yong A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole |
title | A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole |
title_full | A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole |
title_fullStr | A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole |
title_full_unstemmed | A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole |
title_short | A new method of subtotal thyroidectomy for Graves’ disease leaving a unilateral remnant based on the upper pole |
title_sort | new method of subtotal thyroidectomy for graves’ disease leaving a unilateral remnant based on the upper pole |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312989/ https://www.ncbi.nlm.nih.gov/pubmed/28178132 http://dx.doi.org/10.1097/MD.0000000000005919 |
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