Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website http://www.currentsurgery.org

Original Article

Volume 4, Number 2, June 2014, pages 40-45

Total Versus Subtotal Thyroidectomy for Benign Multinodular Goiter: Outcome and Complications

Figures

Figure 1.
Figure 1. The superior thyroid artery indentified and dissected meticulously as close to the thyroid capsule as possible to avoid damaging the superior laryngeal nerve.
Figure 2.
Figure 2. The external branch of the superior laryngeal nerve indentified and preserved as represented by the solid white arrow. The other arrow denoted the superior pole retracted medially.
Figure 3.
Figure 3. Branches of the inferior thyroid artery entering the thyroid (A) only were cut between ligatures (B) to preserve the blood supply of the parathyroids.
Figure 4.
Figure 4. Two of the parathyroid glands were identified and preserved.
Figure 5.
Figure 5. The specimen to be removed represented both lobes together with the isthmus (A). The operative field showed the thyroid bed completely free from any thyroid tissue (B).

Tables

Table 1. Recurrent Laryngeal and Superior Laryngeal Nerves Injury in Both Groups
 
GroupPermanent RLN injuryTemporary RLN injurySLN injuryTotalP value
NS: not significant.
ST (N = 121)03 (2.5%)3 (2.5%)6 (5 %)NS
T (N = 121)04 (3.3%)3 (2.5%)7 (5.8%)NS

 

Table 2. Permanent and Transient Hypoparathyroidism in Both Groups
 
GroupPermanent hypoparathyroidismTransient hypoparathyroidismP value
NS: not significant.
ST (N = 121)02 (1.6%)NS
T (N = 121)1 (0.8%)1 (0.8%)NS