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Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter

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Abstract

Multi-nodular goiter (MNG) is one of the commonest thyroid gland disease. Surgery is an important treatment option in the presence of indications. There are several alternative procedures for thyroid gland operation such as subtotal thyroidectomy (STT), near-total thyroidectomy (NTT), hemi-thyroidectomy plus subtotal resection (Dunhill procedure), and total thyroidectomy (TT), but the surgical procedure of choice is still under discussion. In this study, 173 consecutive patients with multi-nodular goiter underwent thyroid operation in the department of surgery of Pursina Hospital in Rasht-Iran, using two different methods: Dunhill operation and total thyroidectomy. Outcome assessment was performed 4 days after surgery, 2 weeks, 1, 2, 10, and 20 month after surgery. Preoperative assessment, seroma, recurrent laryngeal nerve palsy, hypocalcaemia rates, and rates of other postoperative complications, final pathology, and recurrence were compared in two methods. Due to the high incidence of malignancy in this survey, TT can be the method of choice for MNG surgery. Also, TT will be more beneficial in the surgical treatment of benign thyroid disorders, especially those which are bilateral or extended to substernal space or which presented with compression symptoms.

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References

  1. Unnikrishnan AG, Kalra S, Baruah M, Nair G, Nair V, Bantwal G et al (2011) Endocrine society of India management guidelines for patients with thyroid nodules: a position statement. Indian J Endocrinol Metab 15:2–8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Moalem J, Suh I, Duh QY (2008) Treatment and prevention of recurrence of multinodular goiter: an evidence-based review of the literature. World J Surg 32:1301

    Article  PubMed  Google Scholar 

  3. Ho TW, Shaheen AA, Dixon E, Harvey A (2011) Utilization of thyroidectomy for benign disease in the United States: a 15-year population-based study. Am J Surg 201(5):201–570

    Article  Google Scholar 

  4. Sheikh EA, Saadat SH, Waleem U, Heidar IZ, Haroon A, Ashfaq M (2009) Total thyroidectomy as primary elective procedure in multinodular thyroid disease. J Ayub Med Coll Abbottabad 21(4):57–59

    PubMed  Google Scholar 

  5. Vassiliou J, Tympa A, Arkadopoulos N, Nikolakopoulos F, Petropoulou T, Smyrniotis V (2013) Total thyroidectomy as the single surgical option for benign and malignant thyroid disease: a surgical challenge. Arch Med Sci 9(1):74–78

    Article  PubMed  PubMed Central  Google Scholar 

  6. Acun Z, Comert M, Cihan A, Ulukent SC, Ucan B, Cakmak GK (2004) Near-total thyroidectomy could be the best treatment for thyroid disease in endemic regions. Arch Surg 139:444–447

    Article  PubMed  Google Scholar 

  7. Olson SE, Starling J, Chen H (2007) Symptomatic benign multinodular goiter: unilateral or bilateral thyroidectomy? Surgery: 142–458

  8. Agarwal G, Aggarwal V (2008) Is total thyroidectomy the surgical procedure of choice for benign multinodular goiter? An evidence-based review. World J Surg 32(7):1313–1324

    Article  PubMed  Google Scholar 

  9. Clark OH, Lal G (2007) Thyroid, parathyroid, and adrenal. In: Brunicardi FC, Anderson DK, Billiar TR, Dunn DL, Hunter JG, Poliock RE (eds). Schwartz’s Principles of Surgery. 8th edn. Vol. 2. The McGraw-Hill Companies. (p 37)

  10. Harrison BJ, Maddox PR, Smith DM (2002) Disorders of the thyroid gland. In: Cuschieri A, Steel RJC, Mossa AR (eds). Essential Surgical Practice. 4th edn. Arnold

  11. Barczyński M, Konturek A, Hubalewska-Dydejczyk A, Gołkowski F, Cichoń S, Nowak W (2010) Five-year follow-up of a randomized clinical trial of total thyroidectomy versus Dunhill operation versus bilateral subtotal thyroidectomy for multinodular nontoxic goiter. World J Surg 34(6):1203–1213

    Article  PubMed  Google Scholar 

  12. Si P, Yulin X, Yi T, Guo Y, Sun S (2012) Compare the postoperative complications incidence of benign multi-nodular goiter: a meta-analysis. Chin-Ger J Clin Oncol 11(10):575–580

    Article  Google Scholar 

  13. Veyseller B, Aksoy F, Demirhan H, Yildirim YS, Ertaş B, Açikalin RM et al (2009) Total thyroidectomy in benign thyroid diseases. Kulak Burun Bogaz Ihtis Derg 19(6):299–303

    PubMed  Google Scholar 

  14. Bauer P, Murray S, Clark N, Pontes DS, Sippel RS, Chen H (2013) Unilateral thyroidectomy for the treatment of benign multinodular goiter. J Surg Res 184(1):514–518

    Article  PubMed  PubMed Central  Google Scholar 

  15. Ríos A, Rodríguez JM, Galindo PJ, Montoya M, Tebar FJ, Sola J et al (2004) Utility of fine-needle aspiration for diagnosis of carcinoma associated with multinodular goiter. Clin Endocrinol 61:732–737

    Article  Google Scholar 

  16. Al-Yaarubi S, Farhan H, Al-Futaisi A, Al-Qassabi S, Al-Rasadi KH, Al-Riyami SH et al (2011) Accuracy of ultrasound-guided fine-needle aspiration cytology for diagnosis of carcinoma in patients with multinodular goiter. Indian J Endocrinol Metab 15:132–135

    Article  Google Scholar 

  17. Reeve TS, Delbringe L, Crummer P, Smyth C (1988) Secondary thyroidectomy: a twenty-year experience. World J Surg 12:449–453

    Article  CAS  PubMed  Google Scholar 

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Source of Funding

Funding for this study was provided by Guilan University of Medical science.

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Authors and Affiliations

  1. Department of Surgery, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran

    Mohammadreza Mobayen, Iraj Baghi, Ramyar Farzan, Ali Talebi & Seyed Adel Maleknia

  2. Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran

    Seyyedeh Aisa Paknejad

Authors
  1. Mohammadreza Mobayen
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  2. Iraj Baghi
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  3. Ramyar Farzan
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  4. Ali Talebi
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  5. Seyed Adel Maleknia
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  6. Seyyedeh Aisa Paknejad
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Correspondence to Seyyedeh Aisa Paknejad.

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Mobayen, M., Baghi, I., Farzan, R. et al. Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter. Indian J Surg 77 (Suppl 3), 1137–1141 (2015). https://doi.org/10.1007/s12262-015-1213-z

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  • DOI: https://doi.org/10.1007/s12262-015-1213-z

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