Standard-radical vs. function-preserving surgery of benign nodular goiter—a sonographic and biochemical 10-year follow-up study

Abstract

There was no advantage in thyroid function tests nor lesser medication in the FP group. The risk for recurrent nodules was significantly higher in the FP than in the STR-operated patients.

Surgery for recurrent goiter: complication rate and role of the thyroid-stimulating hormone-suppressive therapy after the first operation

“…When the ultrasonography parameter was used, the patients who underwent operations that were less than a total thyroidectomy were significantly burdened by a rate of recurrence that varied from 8 to 34 % [10][11][12][13][14][15][16][17][18][19]. The definition of what is a nontotal thyroidectomy is extremely variable, being represented by operations, such as bilateral subtotal thyroidectomy and Dunhill operation [12,15,19], to "function preserving surgery" [18]. The latter term seems to better express the concept of an operation that should leave the patient not exposed to the necessity of assuming lifelong levothyroxine therapy.…”

State of the art: surgery for endemic goiter—a plea for individualizing the extent of resection instead of heading for routine total thyroidectomy

“…4. Although the widespread use of high-resolution ultrasonography may uncover an additional 20% of cases of recurrent goiter after subtotal thyroidectomy [33], not all these cases qualify for reoperation. As a matter of fact, the reoperation rate for nodular goiter in Germany was only 5% [11] even though subtotal thyroidectomies made up 88% of goiter surgery at the time of the study in this country [50].…”

Modern approach for the treatment of multinodular non-toxic goiter

“…N. Lehwald и соавт. [52], сравнивая результаты геми тиреоидэктомии и тиреоидэктомии, выявили, что после гемитиреоидэктомии рецидив заболевания произошел у 18,6% больных, а после тиреоидэкто мии -у 2,5%. J. Moalem и соавт.…”