Tiroidectomía total en el bocio multinodular benigno
[Total thyroidectomy treatment of bening multinodular goiter].
Rev. Fac. Cienc. Méd. (Córdoba); 71 (2), 2014
Publication year: 2014
INTRODUCTION:
The treatment of benign multinodular goiter (BMNB) is a matter of ongoing debate in recent decades despite evidence that total thyroidectomy (TT) is associated with a significant reduction in disease recurrence and minimal morbidity in trained hands.OBJECTIVE:
Determine BMNB recurrence after 10 years in 100 patients treated with TT and evaluate the technique-related complications.DESIGN:
Prospective non randomized.MATERIAL AND METHODS:
From March 1999 to March 2001, one hundred patients, 95 female, with an average age of 42.4 years (range 23-67) underwent TT for having a BMNB, which was confirmed by cervical ultrasound, which also served as a guide to perform fine-needle aspiration (FNA). In all cases, laryngoscopy was performed before and after post-surgical bitstream.RESULTS:
Mean operative time was 49 minutes (range 35-58). Recurrencial recorded paralysis (1
) and five hypoparathyroidism (5
), both transient and no definitive case. All patients were discharged within 24 hours of surgery. We did not record any recurrence BMNB a follow-up period of more than 10 years.