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Anales de la Facultad de Ciencias Médicas (Asunción)

Print version ISSN 1816-8949

Abstract

MEDINA RUIZ, BA  and  UNIVERSIDAD NACIONAL DE ASUNCION DEPARTAMENTO DE CIRUGIA ONCOLOGIA DEL INSTITUTO NACIONAL DEL CANCER. Cátedra de Anatomía Descriptiva. Facultad de Ciencias Médicas. Postoperative complications of total thyroidectomy for multinodular goiter in the National Cancer Institute. An. Fac. Cienc. Méd. (Asunción) [online]. 2014, vol.47, n.1, pp.33-46. ISSN 1816-8949.

ABSTRACT Introduction: The multinodular goiter is the most frequently thyroid disease treated at the National Cancer Institute of Paraguay. Frequently the process affects the entire glandular volume and the total thyroidectomy, when indicated, is a valid therapeutic resource. Critics of this technique argue about the increased risk of postoperative complications, however in referral centers is shown that this does not happen. By studying the complications of the operative technique is demonstrated the advantages and disadvantages of it are demonstrated in the Institution. Material and method: Observational, descriptive, cross-sectional study with an analytical component, of 185 patients who underwent total thyroidectomy for multinodular goiter or totalizations of previous partial thyroidectomy for the pathology, in the Department of Surgery, Cancer Institute from , 2000 to 2011. Results: The surgeries performed were: total thyroidectomy in 176 cases and 9 previous partial thyroidectomy for recurrent goiter were totalized. Presented temporary hypocalcemia 15.1% cases, permanent hypocalcemia 1% and temporary dysphonia 8.6%. No case of permanent dysphonia was registered. We had no mortality in this study. Conclusion: The presence of parathyroid glands in the biopsy sample occurred in 15,9% and was not associated with hypocalcemia. The results show that the total thyroidectomy has similar complication rate with others centers with experience in thyroid disease management. Occult carcinoma was presented as a finding in the surgical specimen of 12,4% of cases. Key Words: Multinodular goiter, total thyroidectomy, hypocalcemia, nerve injury

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