Experience on surgical treatment of 50 patients with huge goiter
ZHANG Ya-feng
ZHANG Rui-ming
Abstract：Objective To investigate the clinical characteristics of huge goiter and main problems of surgical treatment for huge goiter .Methods A respective study was performed in 50 patients with huge goiter whose diameter was larger than 8 cm, during June 2010~June 2012 .Results Thirty patients underwent one lobe thyroidectomy plus one lobe subtotal thyroidectomy , 14 patients underwent one lobe thyroidectomy , 4 patients underwent total thyroidec-tomy, 2 patients underwent total thyroidectomy plus prophylactic peripheral lymph nodes (PLN) dissection.Patholog-ic diagnosis showed nodular goiter in 39 cases, carcinoma of thyroid in 8 cases, secondary hyperthyroidism in 3 ca-ses.Postoperative complications were found in 16 cases, including hypothyroidism in 8 cases, hypoparathyroidism in 4 cases, huarseness in 3 cases, postoperative bleeding in 1 case.No death occurred.Conclusion Huge goiter was usually complicated by substernal goiter , causing tracheal compression , narrow and displacement , so operation for huge goiter is relatively difficult with correspondingly high operation risk and morbidity .It is necessary to treat the pa-tients according to their different conditions and to prevent the injuries of blood vessels , recurrent laryngeal nerve and parathyroid .
Keywords：Huge goiterSurgical treatmentComplication
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 327-329 )