Comparative analysis of the postoperative complications of thyroidectomy and subtotal thyroid gland resection in patients with the diffuse toxic goiter

Abstract

The goal of the research was to study retrospectively the results of surgical treatment of diffuse toxic goiter depending on the volume of surgical intervention (subtotal thyroid and thyroid gland resection), namely the duration of the operation, the number of early postoperative complications (bleeding and recurrent laryngeal nerve injury) and late postoperative complications (vocal cords paralysis, development of stable hypoparathyroidism and thyrotoxicosis recurrence), as well as comparison of doses of levothyroxine providing compensation of postoperative hypothyroidism. Methods: general medical, instrumental, immunoenzyme, radioimmunoassay techniques, statistical. Results. After comparing the results of surgical intervention for diffuse toxic goiter, namely, thyroidectomy and subtotal resection of the thyroid gland, there were no probable differences in the frequency of occurrence of such complications as the flow of blood and paresis of recurrent laryngeal nerves, as well as paralysis of the vocal cords and persistent hypoparathyroidism. The average daily dose of thyroid hormones providing the state of euthyroidism after surgical treatment of diffuse toxic goiter (DTG) did not depend on the volume of surgical operation.