Clinical analysis of remnant and recurrence of nodular goiter after operation

doi:10.3877/cma.j.issn.1674-0793.2010.04.017

Abstract

Abstract:

Objective

To analyze the cause of recurrence of nodular goiter after operation and how to prevent the complications.

Method

Seventy cases of recurrent nodular goiter among 967 cases of primary nodular goiter from January 2005 to July 2009 were studied retrospectively. The patients received TSH (thyroid stimulating hormone) inhibitor after operation and 0.5 to 5-year follow-up.

Results

In the 47 cases of unilateral operation, nodular goiter recurred in 20 cases in the same side, 13 cases in the other side and 14 cases in the bilateral sides. In the 21 cases of bilateral operation, nodular goiter recurred in 14 cases in unilateral side, 7 cases in bilateral sides. Nodular goiter recurred in 2 cases of unknown operation history. Unilateral total or subtotal thyroidectomy were performed in unilateral recurrence. Bilateral total or subtotal thyroidetomy were performed in bilateral recurrence. The incidence rate of complications was higher in reoperation group than in primary operation group.

Conclusions

Post operation recurrence rate of thyroid goiter is correlated with pathological characteristics, operation modality and incomplete TSH inhibitor treatment. Standard operation modality, TSH inhibitor treatment and cognition of pathological characteristics can decrease the recurrent rate.

Key words: Nodular Goiter, Operation, Recurrence

Xiao-kang WANG, Liu-seng LIANG, Mian-ling CHEN. Clinical analysis of remnant and recurrence of nodular goiter after operation[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(04): 364-366.

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https://zhptwkxwx.cma-cmc.com.cn/EN/Y2010/V04/I04/364

1	Rios-Zambudio A, Rodriguez J, Riquelme J，et al. Prospective study of postoperative complications after total thyroidectomy for multinodular goiters by surgeons with experience in endocrine surgery. Ann Surg，2004，240(1):18-25.
2	高绪文，李继莲.甲状腺疾病.北京:人民卫生出版社，1999: 80.
3	何建苗，蒲永东，曹志宇，等.结节性甲状腺肿术后复发原因及防治.中国普通外科杂志，2003，12(10):799.
4	Basili G, Biagini C, Manetti A，et al. Risk of recurrence following partial thyroidectomy for benign lesions.Report of 58 patients 15~25 years after surgery. Minerva Chir，2003，58(3):321-329.
5	马树君.结节性甲状腺肿行甲状腺全切术思考.中国医药指南，2008，19(10):55-56.
6	Bondarenko VO, Ermolov AS, Magomedov RB. Prophylaxix of laryngeal nerve injuries in thyroid surgery. Khiruvgiia (Mosk)，2001，(1):63-66.

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