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| 篇名 |
A Reasonable Amount of Preserved Thyroid Tissue in Thyroidectomy for Multi-nodular Nodular Goiter |
| 作者 |
Hang-Tsung Liu, Kun-Chou Hsieh, Shyr-Ming Sheen-Chen, Fong-Fu Chou |
| 卷期/出版年月 |
40卷1期 (2007/2) |
| 頁次 |
9-15 |
| 摘要 |
Objective: The Dunhill procedure gave us an idea to develop a more objective way to
preserve thyroid remnant when performing subtotal lobectomy. We want to study
whether a modified "Dunhill procedure" can decrease the recurrence rate and not
increase the complication rate when we perform the procedure for treatment of
multiple nodular goiter.
Methods: 269 patients took part in this study. 266 patients had bilateral multiple
nodular goiter and 3 patients had bilateral multiple nodular goiter combined with a
cyst. One hundred and thirty five (135) patients in group A were operated on with a
modified "Dunhill procedure". One hundred and thirty four (134) patients in group
B were operated on by bilateral subtotal thyroidectomy with 3-4gm of thyroid
remnant on each side.
Results: Recurrent nodular goiter occurred in 1 case in group A and 8 cases in
group B. The difference was statistically significant (p=0.016) between the two
groups. No recurrent laryngeal nerve injury occurred in group A or B
intraoperatively. Transient cord palsy was found in 5 patients each in groups A and
B. The incidence of temporary nerve palsy was identical (almost identical) in both
groups. No patient needed calcium supplement 6 months after surgery. The numbers
of patients who needed thyroxine during the follow-up period or still took thyroxine
at the last follow up between the two groups were not significantly different.
Conclusion: We conclude that our modified "Dunhill procedure" could be a
considerable method in the treatment of multiple nodular goiter from the viewpoint
of a decreased recurrence and without increased hypothyroidism or other
complications. |
| 關鍵詞 |
multiple nodular goiter, subtotal thyroidectomy, modified Dunhill procedure, goiter recurrence, complication |
| 分類 |
Original Article |
|
