Comparative Analysis of Subtotal Thyroidectomy for Graves′ Disease Leaving a Unilateral Remnant Based on the Upper Pole
- VernacularTitle:保留单侧腺体上极甲状腺次全切除术治疗Graves′病的对比分析
- Author:
Qiao-chu ZHANG
1
;
Yu LIU
2
;
Hua JIANG
2
;
Rui-lei LIU
2
;
Xi LI
2
;
Ze-nan HUANG
2
;
Jue-kun WU
2
;
Yong HUANG
2
Author Information
1. . Department of VIP center；
2. 2.Department of Thyroid and Breast Surgery，The Third Affiliated Hospital，Sun Yat-Sen University，Guangzhou 510630，China
- Publication Type:Journal Article
- Keywords:
Graves′ disease, hyperthyroidism, subtotal thyroidectomy, thyroidectomy
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2019;40(4):560-564
- CountryChina
- Language:Chinese
-
Abstract:
【Background】 The aim of this prospective randomized study was to evaluate the feasibility of subtotal thyroidectomy 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（GroupⅠ ，59 patients）or with the bilateral dorsal thyroid tissue remained（Group Ⅱ，54 patients）were prospectively compared in operation time， blood loss，recurrence，and postoperative complications.【Results】The operation time remained similar between the two groups，but the blood loss，the reoperation time，recurrent laryngeal nerve injury，and recurrence in GroupⅠwere much less than those in Group Ⅱ. In addition ，no postoperative hemorrhage occurred in GroupⅠ. Three patients （5.56%） underwent postoperative hemorrhage in Group Ⅱ. Two patients（3.39%）in GroupⅠand 4 patients（7.40%）in Group Ⅱ experienced transient hypocalcemia.【Conclusion】In terms of blood loss，reoperation time，postoperative complication， and 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.
