Multinodüler Guatr Tedavisinde Total Tiroidektomi Deneyimimiz
Amaç: Tiroidektomi özellikle endemik bölgelerde düşük mortalite oranlarıyla sık uygulanan bir cerrahi girişimdir. Komplikasyon gelişmesi ciddi morbiditeye sebep olabilir. Benign tiroid hastalıkları için standart bir tedavi yöntemi yoktur. Bu çalışmada benign tiroid hastalığının tedavisinde total tiroidektominin güvenilirliği irdelendi. Gereç ve Yöntem: Haziran 2010 ile Haziran 2013 tarihleri arasında kliniğimizde total tiroidektomi uygulanan 34 hastanın verileri retrospektif olarak değerlendirildi. Bulgular: Çalışmaya alınan hastaların 30u (%88,3) kadın 4ü (%11,7) erkekti. Yaş ortalaması 45 ±13 olan hastaların üçü toksik multinodüler guatr (%8,8), 31i(%91,2) ise toksik olmayan multinodüler guatr idi. Ameliyat öncesi yapılan ultrasonografide ortalama dominant nodül çapı 27.9±10.7 idi. Bir hastamızda (%2,9) geçici hipoparatiroidizm, bir diğerinde ise (%2,9) ses kalitesinde bozulma komplikasyonları görüldü. Hiçbir hastamızda kanama, kalıcı reküren larengeal sinir felci ve hipoparatiroidizm görülmedi. Sonuç: Benign bir tiroid hastalığı için yapılacak cerrahi işlem düşük komplikasyon ve nüks oranına sahip olmalıdır. Total tiroidektomi diğer cerrahi prosedürlere göre benzer komplikasyon ve düşük nüks oranına sahip olması nedeniyle tercih edilebilir bir yöntemdir.
Our Experience in The Treatment Total Thyroidectomy in Multinodular Goitre
Our Experience in The Treatment Total Thyroidectomy in Multinodular Goitre Objective: Thyroidectomy is a common surgical procedure especially used in endemic areas with low mortality. It can cause serious morbidity if any complication occurs. There is not any standart modality for the treatment of benign thyroid diseases. In this study the reliability of total thyoidectomy for the treatment of benign thyroid disease were analyzed. Material and Method: Thirty-four patients who underwent total thyroidectomy due to benign thyroid diseases between June 2010 and June 2013 in our clinic were retrospectively analyzed. Results: There were 30 (%88,3) females and 4(%11,7) males. Mean age was 45 ±13. The thyroid pathology were multinodular goitre in 31 (91%) and multinodular toxic goitre in 3 (9%) patients. Mean dominant nodüle diameter was 27.9 ±10.6 in preoperative sonographic evaluation. Postoperative complications were seen in two patients; one of them was temporary hypoparathyroidism and the other was dysphonia. Postoperative bleeding, permanent recurrent laryngeal nevre palsy and hypoparathyroidism were not observed in any of the patients. Conclusion: The surgical procedure to be performed for the treatment of benign thyroid diseases hould have low complication and recurrence rates. Total thyroidectomy can be the treatment of choice due to similar complication rates with lower recurrence rates compared to the other type of surgical procedures.
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