title: Total thyroidectomy for multinodular goiter. possibility of implementation in a district hospital.
abstract: Increasing number of surgical subspecialities causes general surgeons have little experience with more complex procedures as total thyroidectomy. The aim of the study was to present the outcome of total thyroidectomy following its implementation in a district hospital where such procedure has not been performed previously.
  
  
  METHODS
  293 patients were operated on for goiter between 01.10.2008 and 30.09.2011 in the District Hospital in Proszowice by one contracted endocrine surgeon. Hemithyroidectomy was performed in 75 (23.7%) patients and total thyroidectomy in 191 (76.3%) patients for multinodular goiter and only the latter group was subjected for further analysis.
  
  
  RESULTS
  There were no bilateral recurrent laryngeal nerve palsy. A unilateral transient recurrent laryngeal nerve palsy occurred in 6 patients (3.1%; 1.5% per risk) and postoperative hypocalcemia in 29 (15.7%) patients. 2 (1%) patients required wound revision due to a postoperative bleeding. Postoperative pathology revealed in 12 (6.2%) patients differentiated thyroid cancer.
  
  
  CONCLUSIONS
  1. Total thyroidectomy in a district hospital is still a safe way to operate on thyroid for nonmalignant disorders with low number of complications. 2. Total thyroidectomy is a definite surgical treatment in patients diagnosed by postoperative pathology with differentiated thyroid cancer.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Cichoń
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Walencik
authors.forename: Wojciech
authors.initials: W
authors.lastname: Gierczak
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Aksędowski
authors.forename: Jerzy
authors.initials: J
authors.lastname: Bucki
authors.forename: Stanisław
authors.initials: S
authors.lastname: Cichoń
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006044:Goiter, Nodular / Q000601:surgery*; D006111:Graves Disease / Q000601:surgery; D006767:Hospitals, District; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology; D012086:Reoperation; D012189:Retrospective Studies; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000209:etiology