Total versus near total thyroidectomy in treatment of toxic goiter

Abstract

Background: The most common cause of hyperthyroidism and the most common autoimmune disorder in Toxic goiter is Grave's disease. Antithyroid medications, radioiodine therapy, and surgery have all been employed in the treatment of this disease. Nevertheless, thyroidectomy remains an important option for correcting hyperthyroidism. Objective: The aim of the study was to compare both total and Near total thyroidectomy as regard “Outcome, Complications and Curability“ in patients with controlled Toxic Goiter. Patients and Methods: This prospective randomized controlled study included a total of 84 patients with toxic goiter, attending at Endocrine Surgery Unit, General Surgery Department, Mansoura University Hospitals. This study was conducted between February 2018 and January 2019. The included subjects were randomly divided into two groups; Group 1 (TT) consisted of 42 patients underwent total thyroidectomy, Group 2 (NTT) consisted of 42 patients underwent near total thyroidectomy. Results: Compared to Near total thyroidectomy, total thyroidectomy gave better results regarding the recurrence of toxic manifestations which occurred in 7% of cases 1 year later. Conclusion: It could be concluded that total thyroidectomy (TT) gives good results in management of patients with toxic goiter compared to near total thyroidectomy (NTT). Total thyroidectomy (TT) is advised to be done in patients with toxic goiter due to less liability for postoperative recurrence, provided to be done by experienced endocrine surgeon in a qualified center.