DISTANT RESULTS OF SURGICAL TREATMENT OF THYROID NODULES
DOI:
https://doi.org/10.11603/1811-2471.2017.v0.i1.7565Keywords:
nodular goiter, strumectomy, distant results, relapse.Abstract
The aim of the study – improving the results of surgical treatment of patients with nodular goiter.
Materials and Methods. The study included 281 patients with thyroid disease who were hospitalized in the Department of Surgery of the summit clinic for surgical treatment from 2009 to 2016.
Results. Recurrence of nodular goiter was observed in 9 patients (4.7 %) for 2 to 6 years. Outcomes of surgeries were successful, and in 30 % of these patients, atypical cells were identified in the opposite lobe of the thyroid gland, despite the fact that it looked clinically intact.
Conclusions. The study of long-term results of treatment of patients with nodular goiter determined the optimal amount of surgery in different morphological forms of nodular goiter. Adequate volumes of surgical treatment are hemistrumectomy, extremely subtotal resection of the thyroid gland and thyroidectomy. In carrying out adequate thyroid replacement therapy dramatically reduced the number of relapses after the surgery. The highest percentage (4.7 %) recurrences regardless of the morphological form of nodular goiter was revealed during the economical resection and enucleation thyroid nodule.
References
Aristarkhov, V.G., Danilov, N. V. (2014) Otdalennyye rezul'taty operativnogo lecheniya dobrokachestvennykh zabolevaniy shchitovidnoy zhelezy u pozhilykh patsiyentov [Long-term results of operative treatment of benign thyroid diseases in elderly patients]. Russian medical-biological bulletin named after academician IP Pavlov, 1 [in Russian].
Balabolkin, M. I., Klebanova, E. M., Kreminskaya, V. M. (2007). Fundamental'naya i klinicheskaya tireoidologiya (rukovodstvo) [Fundamental and clinical thyroidology (guidance)]. Medicine [in Russian].
Daminov, F. A. et al. (2013). Khirurgicheskaya taktika lecheniya diffuzno-toksicheskogo zoba [Surgical tactics of treating diffuse-toxic goiter]. Academic Journal of Western Siberia, 9 (1), 21. [in Russian].
Taraschenko, Yu. M. et al. (2015). Otdalennyye rezul'taty khirurgicheskogo lecheniya dobrokachestvennoy ochagovoy patologii shchitovidnoy zhelezy [Remote results of surgical treatment of benign focal pathology of the thyroid gland] International Endocrinology Journal, 3 (67). [in Russian].
Bolgov, M. Y., Taraschenko, Y. N., Yanchiy, I. R. (2014). Results of Long-Term Follow-Up of Patients with Benign Nodules of Thyroid Gland. International Journal of Endocrinology, 2.58, 9-14.
