[Postoperative complications in total thyroidectomy for Graves disease: comparison with multinodular benign goiter surgery].
OBJECTIVE
To study and compare postoperative complications of total thyroidectomy for Graves disease and multinodular benign goiters.


METHODS
A retrospective study on 176 patients (37 with Graves disease and 139 with multinodular benign goiters) over a period of 41 months was conducted. Postoperative calcemia and laryngeal palsy as well as hemorrhagic and infectious complications were studied and statistically compared using the Kruskal-Wallis test.


RESULTS
There was no statistical difference concerning the occurrence of postoperative laryngeal palsy, hypoparathyroidism or hemorrhagic complications between these two groups of patients. Only a more frequent immediate postoperative hypocalcemia (day 1) in the Graves disease group was found.


CONCLUSIONS
Total thyroidectomy in the surgical management of Graves disease, after a cautious medical preoperative preparation, appears to be a safe technique. Total thyroidectomy must be performed instead of subtotal thyroidectomy in order to avoid recurrences.
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Service d'ORL et de chirurgie cervicofaciale, hôpital Nord, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France. bietaurelie@gmail.com
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Strunski
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D000293:Adolescent; D000328:Adult; D000369:Aged, 80 and over; D000465:Algorithms; D005260:Female; D006044:Goiter, Nodular / Q000601:surgery*; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology; D007011:Hypoparathyroidism / Q000209:etiology; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology; D012189:Retrospective Studies; D013965:Thyroidectomy / Q000009:adverse effects* / Q000379:methods; D014826:Vocal Cord Paralysis / Q000209:etiology