The Tendency to Increase of Extensive Thyroidectomies - Many Years' Experience of Endocrinological Surgery Department

• Autorzy: Jacek Dadan , Agnieszka Nowacka , Joanna Nowacka-Ejsmont
• Języki publikacji: EN

Abstrakty

EN

The aim of the study was to evaluate the extent of thyreoidectomy in given years from 1993 to 2006 with the estimation of the occurrence of different types of neoplasmatic lesions in thyroid gland.Material and methods. The study included 3477 patients that underwent thyreoidectomy for nodular disease in above-mentioned period. The data were analyzed in reference to the extent of resection and the type of thyroid nodule.Results. Subtotal resections predominated and constituted 64.82% of all performed thyreoidectomies. The study showed a gradual increase in the number of total resections, from 14.86% in 1993-1996 to 27.33% in 2004-2006. The majority of removed glands revealed defects of almost total nodular degeneration. There was a significant increase in the number of papillary cancer in analyzed period.Conclusions. The profile of thyroid nodules underwent changes pointing out the higher frequency of thyroid cancer in recent years, what affected increased necessity of performing total thyreoidectomies. The more frequent stated total nodular degeneration and radicalization of thyroidectomies may be associated with an observed tendency to prolonged conservative treatment.

Słowa kluczowe

EN

thyroid surgery; nodular lesions of thyroid gland

• Wydawca: Index Copernicus International
• Czasopismo: Polish Journal of Surgery
• Rocznik: 2010
• Tom: 82
• Numer: 1
• Strony: 12-15

Daty

wydano

2010-01-01

online

2010-02-10

Twórcy

autor

Jacek Dadan

• 1 Department of General and Endocrinological Surgery, Medical University, Białystok

autor

Agnieszka Nowacka

• 1 Department of General and Endocrinological Surgery, Medical University, Białystok

autor

Joanna Nowacka-Ejsmont

• 1 Department of General and Endocrinological Surgery, Medical University, Białystok

Bibliografia

• Kebebev E, Clark O: Differentiated thyroid cancer: "complete" rational approach. World J Surg 2000; 24: 942-51.
• Nowotwory złośliwe w Polsce w 1992 r. (red.) Zatoński W, Tyczyński J - Krajowy Rejestr Nowotworów. Centrum Onkologii, Warszawa 1995.
• Balcerzak W, Dawiskiba J, Rychlewski D i wsp.: Zastosowanie akustyczno-optycznego sygnalizatora promieniowania jonizującego w radykalizacji strumektomii u chorych z rakiem tarczycy. Pol Przegl Chir 2003; 75(9), 829-36.
• Szubiński Z: Epidemiologia raka tarczycy w Polsce - badanie wieloośrodkowe. II Konferencja Naukowa: Rak Tarczyca, Szczyrk 11-13.12.2000 r. Program i streszczenia str. 15.
• Dadan J, Dzięcioł J, Łaszkiewicz J i wsp.: Progresja raka tarczycy w ostatnim pięcioleciu. Fundacja Pol Przegl Chir 1999; 3: 353-54.
• Stachlewska-Nasfeter E, Kułakowski A, Lenartowicz J: Leczenie chirurgiczne raka tarczycy. Pol Przegl Chir 1993; 65: 738-45.
• Cichoń S, Anielski R, Konturek A i wsp.: Całkowite wycięcie tarczycy w wolu wieloguzkowym nienowotworowym. Pol Przegl Chir 2007; 79: 871-83.
• Delbridge L, Guiwea AI, Reeve TS: Total thyroidectomy for bilateral benign multinodular goiter. Arch Surg 1999; 134: 1389-93.
• Liu Q, Djuricin G, Prinz R: Total thyroidectomy for benign thyroid disease. Surgery 1998: 123: 2-7.
• Pappalardo G, Guadalaxara A, Frattoroli F: Total compared with subtotal thyroidectomy in benign nodular disease: personal series and review of published reports. Eur J Surg 1998; 164: 501-06.
• Rimpl I, Wahl RA: Surgery of nodular goiter: postoperative hypocalcemia in relation to extent of resection and manipulation of the parathyroid gland. Langenbecks Arch Surg 1998; supl. 115: 1063-66.
• Uruno T, Miyauchi A, Shimizu K et al.: A prophylactic infusion of calcium solution reduces the risk of symptomatic hypocalcemia in patients after total thyroidectomy. World J Surg 2006; 30: 304-08.
• Thomusch O, Sekulla C, Dralle H: Rolle der totalen Thyroidektomie im primaren Therapiekonzept der benignen Knotenstruma. Chirurg 2003; 74: 437-43.
• Dadan J, Łukaszewicz J, Safiejko K i wsp.: Ocena przydatności śródoperacyjnej lokalizacji nerwów krtaniowych wstecznych (NKW) z zastosowaniem neuromonitoringu w chirurgicznym leczeniu wola. Acta Clin Morphol 2008; 11 (1): s. 8-14.

Identyfikatory

DOI

10.2478/v10035-010-0003-3