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Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 557
Views PDF: 511
DOI: https://doi.org/10.47972/vjcts.v19i.102
Issue
Vol. 19
Section
Research Article
How to Cite
Phat, L. T. ., Huy, T. Q. ., & Hung, D. Q. . (2020). Indications and resutls of totalthyroidectomy for treatment basedow’s disease at national hospital of endocrinology. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 19, 9-16. https://doi.org/10.47972/vjcts.v19i.102

Indications and resutls of totalthyroidectomy for treatment basedow’s disease at national hospital of endocrinology

Le Tan Phat, Truong Quoc Huy, Doan Quoc Hung

Main Article Content

Abstract

The objective of this study is to analyze the indications and result of totalthyroidectomy for Basedow‟s disease in 55 patients from 5/2017 to 12/2017. The mean age of the patients was 41 years old. 90% patients were women, and 55,5% patients had medical treatment for Basedow‟s disease for more than 2 years. Results: Indications for corrective surgery included nodular goiter (40%), failure of medical treatment (14,5%), big goiter (12,7%), exophthalmos (20%), complications concerned withmedicaltreatment (12,7%). Postoperatively, temporary hypocalcemia was seen in 16,4% of the patients. No complication involved recurrence, bleeding, hematoma was seen.The surgical result wasgood in 94.5%, overage in 5,5%. Corrective surgical therapy is one of the options that provided good long-term results with few complications.*

Article Details

Keywords

Basedow’s disease, total thyroidectomy

References

1. Tạ Văn Bình (2007). Bệnh học tuyến giáp, Bệnh Grave-Basedow, Nhà xuất bản Y học, 111-154
2. Thái Hồng Quang (2001). Bệnh của tuyến giáp, Bệnh nội tiết, Nhà xuất bản y học, Hà Nội, Tr.106-158.
3. Dadan J., Ladny J.R., Puchalski Z. (1997). Hyperthyroid goitre treated surgically, Rocz.Akad.Med.Bialymst., 42(1): pp.81-88.
4. Linos D.A., Karakitsos D., Papademetriou J. (1997). Should the primary treatment of hyperthyroidism be surgical, EUR.j.Surg., 163(9): pp.651-657.
5. Iagaru A., McDougall I.R. (2007). Treatment of thyrotoxicosis, J Nucl Med., Mar, 48(3), pp.379-89.
6. Le Clech. G, Caze. A et all (2005). Surgery for Graves’ disease: A review of 378 cases, France ORL, 86, 10 - 16.
7. Miccoli P, Vitti P et al. (1996). Surgical treatment of Graves' disease: subtotal or total thyroidectomy? Surgery. 120(6), 1020 - 1025.
8 Wilhelm SM, McHenry CR. Total thyroidectomy is superior to subtotal thyroidectomy for management of Graves' disease in the United States, World J Surg. 2010 Jun.
9. Tran Ba Huy. P, Houlbert. D (1984). Traitement chirurgical de la maladie de Basedow: Bilan de 36 thyroidectomie subtotales, Ann.Oto-Laryngolog, 101, 512 - 522.
10. Mai Thế Trạch, Nguyễn Thuy Khuê (2003). Nội Tiết học đại cương, NXB Y học TP HCM 2003
11. Candela G, Varriale S. (2007). Surgical treatment of Basedow's disease: our experience with 424 operations, Chir Ital, 59(5), 707 - 711.
12. Đặng Ngọc Hùng, Ngô Văn Hoàng Linh (1987). Kỹ thuật cắt bỏ gần hoàn toàn tuyến giáp trong bệnh Basedow, Những công trình nghiên cứu chuyên đề bệnh cường giáp, Học viện Quân y, Hà Nội : Tr69 -74.
13. Đoàn Quốc Hưng (2010). Tổng quan các biến chứng trong phẫu thuật tuyến giáp, Tạp chí Ngoại khoa, Tr. 7-12.