A Total Lobectomy on one side and a Subtotal Thyroidectomy on the Other Side in Thyrotoxicosis

Abstract

From July 2002 to June 2004 (2 Years), 36 patients with thyrotoxicosis, euthyroid state were operated with a total lobectomy on one side and a subtotal thyroidectomy on the other side. The age of patients ranged from 11 to 64 years (average 33.8 ± 1.7 years). 29 women and 7 men were operated at Sikeuw hospital, Nkhon Ratchasima province, by the same surgeon (Author). The average operative time was 75.1 ± 6.9 minutes (50-120 minutes). The average hospital stay was 4.3 ± 0.8 days (3-6 days). Pathologic reports were diffuse hyperplasia 27 cases (75%), multinodular 7 cases (19.4%) and thyroiditis 2 cases (5.6%). Post operative follow up, all patients went to euthyroid state, no need antithyroid drug and no serious complication. The advantage of this technique was the decrease operation time and suture-material for the lobe which was totally excised and in case of recurrent thyrotoxicosis, the totally lobectomized  side was not necessary to be explored again.