Open AccessExperience of surgical treatment of thyroid and parathyroid diseases
Author(s) -
Е. А. Ильичева,
Е. А. Ильичева,
Anastasia Zharkaya,
Anastasia Zharkaya,
Dmitriy Bulgatov,
Dmitriy Bulgatov,
В. Н. Махутов,
В. Н. Махутов,
Vitaliy Borichevskiy,
Vitaliy Borichevskiy,
Valeriy Karasev,
Valeriy Karasev,
Gennadiy Aldaranov,
Gennadiy Aldaranov,
Gor Ovakimyan,
Gor Ovakimyan
Publication year - 2017
Publication title -
acta biomedica scientifica
Language(s) - English
Resource type - Journals
eISSN - 2587-9596
pISSN - 2541-9420
DOI - 10.12737/article_5a0a90007b9072.55673561
Subject(s) - medicine , hypoparathyroidism , thyroid , parathyroidectomy , thyroidectomy , surgery , goiter , paresis , hyperparathyroidism , primary hyperparathyroidism , autotransplantation , parathyroid gland , parathyroid hormone , transplantation , calcium
Background. In our country some aspects of thyroid and parathyroid surgery are still discussed.
Aim. To present our experience in surgical treatment of benign diseases of the thyroid and parathyroid glands.
Materials and methods. A retrospective analysis of the results of surgical treatment of 1511 patients with thyroid and
parathyroid disease was performed.
Results. Thyroidectomy was performed in 73.6 % of cases with thyroid diseases. The frequency of postoperative
complications: laryngeal paresis – 1.37 %, hypoparathyroidism – 0.84 %, hemorrhagic complications – 1.2 %. Selective
parathyroidectomy was performed in 99 % of cases with primary hyperparathyroidism. Persistent hypoparathyroidism
and laryngeal paresis have not been identified. Total parathyroidectomy with central neck dissection, upper mediastinum
and upper horn of the thymus gland was performed in 66.3 % of cases with secondary hyperparathyroidism. Persistent
laryngeal paresis was established in 3.3 % of cases, hemorrhagic complications – in 3.3 %.
Conclusions. Constant analysis of our own results gives us reasons for our own attitude to the controversial issues
of thyroid and parathyroid surgery. Presently, we prefer thyroidectomy in the treatment of diffuse toxic goiter and
multinodular goiter, hemithyroidectomy – for the single-node goiter. In the surgical treatment of primary and uremic
hyperparathyroidism, we consider mandatory the use of intraoperative monitoring of intact parathyroid hormone. When
performing total parathyroidectomy, we perform the autotransplantation of the fragment of the parathyroid gland.