Long-term sequelae of the less than total thyroidectomy procedures for benign thyroid nodular disease.
Zarif Fahim Hanna, M., A.A. El Deen, H., I. Salman, M., H.H. Elhemeily, M., N.A. Zaki, N., Hossam Eldin Abd El Monem, A. (2024). Long-term sequelae of the less than total thyroidectomy procedures for benign thyroid nodular disease.. EKB Journal Management System, 43(4), 1233-1238. doi: 10.21608/EJSUR.2024.280963.1041
Michael Zarif Fahim Hanna; Hesham A.A. El Deen; Manal I. Salman; Mohammed H.H. Elhemeily; Nahla N.A. Zaki; Ayman Hossam Eldin Abd El Monem. "Long-term sequelae of the less than total thyroidectomy procedures for benign thyroid nodular disease.". EKB Journal Management System, 43, 4, 2024, 1233-1238. doi: 10.21608/EJSUR.2024.280963.1041
Zarif Fahim Hanna, M., A.A. El Deen, H., I. Salman, M., H.H. Elhemeily, M., N.A. Zaki, N., Hossam Eldin Abd El Monem, A. (2024). 'Long-term sequelae of the less than total thyroidectomy procedures for benign thyroid nodular disease.', EKB Journal Management System, 43(4), pp. 1233-1238. doi: 10.21608/EJSUR.2024.280963.1041
Zarif Fahim Hanna, M., A.A. El Deen, H., I. Salman, M., H.H. Elhemeily, M., N.A. Zaki, N., Hossam Eldin Abd El Monem, A. Long-term sequelae of the less than total thyroidectomy procedures for benign thyroid nodular disease.. EKB Journal Management System, 2024; 43(4): 1233-1238. doi: 10.21608/EJSUR.2024.280963.1041

Long-term sequelae of the less than total thyroidectomy procedures for benign thyroid nodular disease.

The Egyptian Journal of Surgery
Volume 43, Issue 4, October 2024, Page 1233-1238  XML PDF (296.67 K)
Document Type: Original Article
DOI: 10.21608/EJSUR.2024.280963.1041
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Authors
Michael Zarif Fahim Hanna* 1; Hesham A.A. El Deen1; Manal I. Salman2; Mohammed H.H. Elhemeily3; Nahla N.A. Zaki4; Ayman Hossam Eldin Abd El Monem1
1Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2Department of Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
3Department of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
4Department of Endocrinology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background: Nodular goiter, the most prevalent thyroid disorder, is increasing in frequency due to the availability of
sensitive diagnostic tests in recent decades.
Aim: To assess long-term sequelae of the less than total thyroidectomy procedures as a technique of surgical management of nodular thyroid disease versus total thyroidectomy.
Patients and Methods: This retrospective observational study was conducted on a total of 150 patients who presented
with benign nodular thyroid disease and divided into two groups; group A: 75 patients underwent less than thyroidectomy and group B: 75 patients underwent total thyroidectomy at tertiary care hospital at General surgery units in El-Demerdash and Ain Shams University Specialized Hospital (ASUSH) and performed.
Results: Our study results reported that recurrence was significantly more frequent in the total group than in the total
group (20.0% vs. 0.0%, respectively, P<0.001). Hence, the time to recurrence was less than the total group than in the
total group 6.5±0.9, while management of recurrence (Medical/surgical: 13.3%/ 86.7%, respectively).
Conclusion: Total thyroidectomy is a safe and effective procedure for benign thyroid diseases, while less than total
thyroidectomy is associated with high recurrence rates and associated risks. Total thyroidectomy offers advantages such
as disease eradication, goiter prevention, and occult malignancy avoidance, but is associated with higher morbidity and
lifelong hypothyroidism replacement therapy. Less than total thyroidectomy has a place in modern practice especially
with unilateral single or more thyroid lesions.
Keywords
Less than total thyroidectomy; thyroid nodular disease; total thyroidectomy
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