Acta Biomedica Scientifica (Nov 2017)

EXPERIENCE OF SURGICAL TREATMENT OF THYROID AND PARATHYROID DISEASES

  • E. A. Ilyicheva,
  • A. V. Zharkaya,
  • D. A. Bulgatov,
  • V. N. Makhutov,
  • y. V. Borichevskiy,
  • V. P. Karasev,
  • G. Y. Aldaranov,
  • G. A. Ovakimyan

DOI
https://doi.org/10.12737/article_5a0a90007b9072.55673561
Journal volume & issue
Vol. 2, no. 6
pp. 182 – 187

Abstract

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Background. In our country some aspects of thyroid and parathyroid surgery are still discussed. Aim. To present our experience in surgical treatment of benign diseases of the thyroid and parathyroid glands. Materials and methods. A retrospective analysis of the results of surgical treatment of 1511 patients with thyroid and parathyroid disease was performed. Results. Thyroidectomy was performed in 73.6 % of cases with thyroid diseases. The frequency of postoperative complications: laryngeal paresis -1.37 %, hypoparathyroidism - 0.84 %, hemorrhagic complications -1.2 %. Selective parathyroidectomy was performed in 99 % of cases with primary hyperparathyroidism. Persistent hypoparathyroidism and laryngeal paresis have not been identified. Total parathyroidectomy with central neck dissection, upper mediastinum and upper horn of the thymus gland was performed in 66.3 % of cases with secondary hyperparathyroidism. Persistent laryngeal paresis was established in 3.3 % of cases, hemorrhagic complications - in 3.3 %. Conclusions. Constant analysis of our own results gives us reasons for our own attitude to the controversial issues of thyroid and parathyroid surgery. Presently, we prefer thyroidectomy in the treatment of diffuse toxic goiter and multinodular goiter, hemithyroidectomy - for the single-node goiter. In the surgical treatment of primary and uremic hyperparathyroidism, we consider mandatory the use of intraoperative monitoring of intact parathyroid hormone. When performing total parathyroidectomy, we perform the autotransplantation of the fragment of the parathyroid gland.

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