Tactics and technique aspects for surgery of the thyroid gland
DOI:
https://doi.org/10.31837/cir.urug/2.1.1Keywords:
thyroidectomy surgery, thyroidectomyAbstract
Objective: To study a series of patients with thyroid pathologies and they treatment Material and methods: Our series includes 128 patients and 132 surgeries, with 4 reoperations. The average age was 55 years; 87 women and 41 men. 105 total thyroidectomies were performed (80%). 60 cases (45%) of goiter, 41 (31%) of thyroid nodules with possible malignancy and 4 (3%) reoperations to complete a total thyroidectomy. In 27 patients (20%) a lobectomy and isthmectomy was performed Results: In the 60 operated goiters 40 involution hyperplastic nodules (67%), 12 (20%) Hashimoto´s thyroiditis and 8 (13%) diffuse parenchymatous goiters were found. In 6 cases (10%) papillary microcarcinomas were found. In 41 total thyroidectomies by thyroid nodules were found: 17 follicular adenomas (41%), 12 papillary carcinomas (29%), 7 follicular carcinomas (17%), 1 medullary carcinoma (2.4%) and other injuries. In 27 cases of lobectomy and a isthmectomy were founded: 11 hyperplastic nodules (41%), 10 follicular adenomas (37%), 3 follicular carcinomas (11%) and 1 papillary carcinoma (4%) and 2 nodules of Hashimoto´s thyroiditis. Mortality in our series was 0. 4 cases of transitory hypocalcemia were observed. Conclusions: The surgeries performed were the total thyroidectomy, the lobectomy and the isthmectomy. A total thyroidectomy was performed for the treatment of the goiters and the thyroid nodules with possible malignity. A lobectomy and isthmectomy for the treatment of thyroid nodules with very low suspicious of malignancy. Mortality in the series was 0 and very low morbility. 97 patients had benign injuries (76%) and 31 malignant
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