Total Thyroidectomy as Therapeutic Approach to Hyperthiroidism. Indications, Outcome and Complications

Authors

  • Jesús Sánchez Beorlegui Hospital Clínico Universitario Lozano Blesa Zaragoza, España
  • Félix Lamata Hospital Clínico Universitario Lozano Blesa Zaragoza, España
  • Rafael Cerdán Hospital Clínico Universitario Lozano Blesa Zaragoza, España
  • Vicente Aguilella Hospital Clínico Universitario Lozano Blesa Zaragoza, España
  • Regino Gastamunza Hospital Clínico Universitario Lozano Blesa Zaragoza, España
  • Raúl Abusada Hospital Clínico Universitario Lozano Blesa Zaragoza, España
  • Manuel González Hospital Clínico Universitario Lozano Blesa Zaragoza, España
  • Mariano Martínez Díez Hospital Clínico Universitario Lozano Blesa Zaragoza, España

DOI:

https://doi.org/10.15381/anales.v60i3.4451

Keywords:

Hyperthyroidism, Thyroidectomy, Intraoperative Complications

Abstract

OBJECTIVE: To compare the morbidity of total thyroidectomy (TT) and subtotal thyoidectomy (ST) in the management of hyperthyroidism. MATERIAL AND METHODS: A retrospective study of 350 cases of thyroidectomies performed at the Service B of Surgery at the Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain, from 1975 to 1996. Clinical diagnosis was always "hyperthyroidism". The main outcome measures were parathyroid morbidity (recurrent laryngeal nerve palsy, infections and hemorrhages), length of hospital stay, relapses and re-operations. RESULTS: Among 350 thyroidectomies done, 71 were TST and 279 were TT. Both techniques exhibited similar results, except for a higher incidence of recurrent laryngeal nerve palsy in the early postoperative period. CONCLUSIONS: TT was a good approach for hyperthyroidism because it prevented recurrences and had a low morbidity, with a minimal risk of complications.

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Published

1999-09-20

Issue

Vol. 60 No. 3 (1999)

Section

Trabajos originales

License

Copyright (c) 1999 Jesús Sánchez Beorlegui, Félix Lamata, Rafael Cerdán, Vicente Aguilella, Regino Gastamunza, Raúl Abusada, Manuel González, Mariano Martínez Díez

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How to Cite

1.
Sánchez Beorlegui J, Lamata F, Cerdán R, Aguilella V, Gastamunza R, Abusada R, et al. Total Thyroidectomy as Therapeutic Approach to Hyperthiroidism. Indications, Outcome and Complications. An Fac med [Internet]. 1999 Sep. 20 [cited 2024 Jul. 16];60(3):178-85. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4451