Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience

Mohamad, Ikhwan Sani and Mohamad, Irfan and Baw, Shwe and Kamarulzaman, Mohd Nazli and S, Hassan and Rahman, Mohd Nor Gohar (2013) Outcome of total thyroidectomy and subtotal thyroidectomy in non-toxic multinodular goiter: Hospital Universiti Sains Malaysia Experience. Malaysian Journal of Medicine and Health Sciences, 9 (1). pp. 3-8. ISSN 1675-8544 (O)1675-8544 (P)

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Abstract

Introduction: Thyroid enlargement is one of the common surgical presentations in the Department of Surgery, Hospital Universiti Sains Malaysia (HUSM). Among them, benign non-toxic multinodular goiter constitutes one third (30%) of patients who underwent thyroidectomy. Common complications of thyroidectomy include recurrent laryngeal nerve (RLN) injury, hypocalcaemia, and recurrence of the thyroid lesion. Objective & Methods: This is a retrospective study of patients diagnosed with multinodular goiter treated in HUSM between January 1996 and December 2005. A total of 111 patients were studied and 52 of them underwent subtotal thyroidectomy while 59 underwent total thyroidectomy. The outcome in terms of RLN injury, hypocalcaemia and mass recurrence were analyzed. Results: Post operative complications were studied in both groups. Permanent recurrent laryngeal nerve injury occurs in 2.4% (1 case) in subtotal thyroidectomy group compared to total thyroidectomy group (3.6%, 2 cases). Five cases from total thyroidectomy group suffered from permanent hypocalcaemia but none in the other group. 70.7% (29 cases) from subtotal thyroidectomy group have functional remnant of thyroid tissue. Recurrence rate post subtotal thyroidectomy after 5 years is only 4.9% (2 cases). Conclusion: The post operative outcome in patients who underwent subtotal thyroidectomy in HUSM from January 1996 to December 2005 was better than total thyroidectomy with significant functional thyroid remnant.

Item Type:	Article (Journal)
Additional Information:	3752/42994
Uncontrolled Keywords:	Thyroidectomy, subtotal, complication, benign
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Surgery
Depositing User:	Dr. Mohd Nazli Kamarulzaman
Date Deposited:	22 May 2015 08:42
Last Modified:	22 May 2015 08:42
URI:	http://irep.iium.edu.my/id/eprint/42994

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