Factors influencing extent of surgery for Substernal Thyroid Goiters: Hemithyroidectomy versus total Thyroidectomy

A. Kane, B. J. Johnson, M. Dileo, Jeffrey M. Hotaling, A. Pou, D. Nuss, R. Walvekar
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Abstract

Background: When compared to removal of cervical goiters, patients undergoing removal of substernal goiter have been found to have higher rates of complications, including recurrent laryngeal nerve injury, bleeding, and hypoparathyroidism. Previous literature has discussed hemithyroidectomy versus total thyroidectomy for cervical goiters showing that the less invasive procedure was a reasonable option with decreased morbidity overall.
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影响胸骨下甲状腺肿大手术范围的因素:半甲状腺切除术与全甲状腺切除术
背景:与颈部甲状腺肿大切除术相比,胸骨下甲状腺肿大切除术患者的并发症发生率更高,包括喉返神经损伤、出血和甲状旁腺功能减退。先前的文献讨论了半甲状腺切除术与全甲状腺切除术治疗宫颈甲状腺肿大,表明微创手术是一种合理的选择,总体上降低了发病率。
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