THYROIDECTOMY TECHNIQUE AS THE BASIS FOR IMPROVING THE RESULTSOF TREATMENT OF PATIENTS WITH BENIGN THYROID DISEASE

Objective: improving outcomes of treatment of patients with diffuse and mixed toxic nodular euthyroid goiters by justification of thyroidectomy and prevention of complications at its performance. Materials and methods. The analysis of the results of thyroidectomy was performed in 243 patients who had diffuse toxic (60/24.7%) and mixed-toxic (86/35.4%) goiter, and also nodular euthyroid goiter (97/39.9%). The patients were divided into two groups according to the method of thyroidectomy. The first group included patients who underwent thyroidectomy performed from the isthmus, the second group - from the side surfaces of the thyroid gland. Results. After thyroidectomy from the isthmus without visualization of recurrent laryngeal nerves in 57 patients, there was a violation of phonation in 8 (14%) patients, after thyroidectomy in a single block from the lateral surfaces of thyroid lobes with visualization of the location of recurrent laryngeal nerves - in 2 (1.07%) patients with substernal goiter. Conclusion. Thyroidectomy technique from the side surfaces of the thyroid gland with preservation of the inferior thyroid artery and ligation of branches reaching the thyroid gland under control of recurrent laryngeal nerves provides the minimal risk of development of phonation disorders.

diffuse and mixed toxic goiter, nodular euthyroid goiter, thyroidectomy, recurrent laryngeal nerve