The extent of thyroidectomy in Graves' disease is still controversial. In our institution, long term euthyroidism without thyroxine replacement therapy has been aimed and, thus, subtotal thyroidectomy has been employed. We prospectively studied whether the surgical outcome was improved by a strategy of leaving smaller thyroid remnants. Between 1989 and 1998, 1897 patients with Graves' disease w...

BACKGROUND This study compared the efficacy of robotic thyroidectomy via a gasless, axillary approach with conventional cervical and endoscopic techniques by meta-analysis. METHODS Articles were identified from the following keyword searches: robotic/robot-assisted thyroidectomy/thyroid surgery. Outcomes included operative time, hospital stay, complications, and cosmetic satisfaction after su...

Background and objectives: Hypocalcemia is a common complication in patients after total thyroidectomy. This study was undertaken to identify risk factors for post thyroidectomy hypocalcemia. To evaluate the of hypocalcemia, order enable early management, avoid complications, treat accordingly. Method: A longitudinal performed from January 2019 February 2022. All cases Thyroidectomy were includ...

background transient hypocalcemia is one of the postoperative complications of thyroidectomy for thyroid nodules, and intraoperative and postoperative intact parathyroid hormone (ipth) assays are used to predict postoperative hypocalcemia. objectives the current study was conducted to evaluate a single serum ipth measurement on postoperative day 1 (pod 1) as a means to predict hypocalcemia occu...

BACKGROUND There has been increasing emphasis on performing 'same-day' or 'out-patient' thyroidectomy to reduce associated costs. However, acceptance has been limited by the risk of potentially life-threatening post-operative bleeding. This study aimed to review current rates of post-operative bleeding in a metropolitan teaching hospital and identify risk factors. METHOD Medical records of pa...

BACKGROUND The purpose of this study was to determine whether patients who undergo total thyroidectomy will have postoperative hypocalcemia develop when they reach the critical 6-hour serum levels defined as parathyroid hormone (PTH) > or =28 ng/L and simultaneous corrected calcium > or =2.14 mmol/L. METHODS This was a prospective study involving 70 consecutive total thyroidectomy patients. T...

INTRODUCTION Seroma is defined as collection of fluid within the surgical site during postoperative period that causes several complications. Recognition of predisposing risk factors can lead to avoid seroma formation after thyroidectomy. MATERIALS AND METHODS A cross-sectional study was carried out during a 3-year period and 678 patients were enrolled the study. We recorded demographic data,...

OBJECTIVE To examine the indications for operation and the frequency, efficacy, and outcome of surgical therapy for thyrotoxicosis. METHODS The medical records of all patients who underwent thyroidectomy between 1990 and 1998 were reviewed. Operative indications, laboratory evaluations, extent of thyroidectomy, pathologic findings, and morbidity and mortality were determined for patients with...

Background: The optimal extent of surgery for differentiated thyroid cancers (DTC) is controversial. The aim of this study is to assess the frequency and potential predictive factors of residual malignancy in the lobe contralateral to the main tumor. The secondary aim was to assess the safety of completion thyroidectomy. Methods: All total thyroidectomies performed at our institution between 20...

BACKGROUND Management decisions are not straightforward when the Ultrasound Guided Fine Needle Aspiration (USFNA) demonstrates a Bethesda score of either category III or IV, and a diagnostic hemi-thyroidectomy or a repeat USFNA (r-USFNA) could be performed. The aim of this study is to assess the effectiveness of r-USFNA in the management of indeterminate thyroid nodules by evaluating the likeli...