Total Thyroidectomy for Bilateral benign Multinodular Goiter

Objective To analyze the complication after total thyroidectomy and investigate the selection of the operation methods for bilateral multinodular goiter.Methods Retrospectively analysis the 102 cases from April 2002 to December 2007 that patients were treated with surgery in the department of general surgery of the First people's Hospital.102 cases based on the different surgical methods were divided into two groups:69 cases in A group were performed subtotal thyroidectomy and 33 cases in B group were treated with total thyroidectomy.Results There were 102 cases diagnosed with bilateral multinodular goiter after operation by pathology.5 and 3 cases in A and B group separately occurred transient Recurrent laryneal nerve damage after operation,P0.05.7 and 5 cases in A and B group occurred transient hypocalcaemia separately,P0.05.The mean operating time was 10.71+24.94min in A group compared to 127.58+43.98 min in B group,P0.05.The length of stay was 11.36+3.29days in A group compared to 11.39+3.56days in B group,P0.05.The postoperative recurrent rate of BMNG was 15.94% in A group,and there was no case of recurrence in B group,P0.05.Two groups of patients based on FT3,FT4 and TSH levels after operation take thyroxine tablets and adjust drug dosage,and patients followed up were not hypothyroidism.There was no case with permanent Recurrent laryneal nerve damage and hypoparathyroidism after operation in two groups.Conclusion There was no significant difference in the complication after operation between the total thyroidectomy and the subtotal thyroidectomy.And total thyroidectomy can avoid recurrence of the thyroid nodule.So total thyroidectomy is both safe and feasible in the treatment of bilateral multinodular goiter.