Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016:2016:7594615.
doi: 10.1155/2016/7594615. Epub 2016 Feb 24.

Safety and Effectiveness of Total Thyroidectomy and Its Comparison with Subtotal Thyroidectomy and Other Thyroid Surgeries: A Systematic Review

Ashwini Aithal Padur  1 , Naveen Kumar  1 , Anitha Guru  1 , Satheesha Nayak Badagabettu  1 , Swamy Ravindra Shanthakumar  1 , Murlimanju Bukkambudhi Virupakshamurthy  2 , Jyothsna Patil  1
Affiliations
Review

Safety and Effectiveness of Total Thyroidectomy and Its Comparison with Subtotal Thyroidectomy and Other Thyroid Surgeries: A Systematic Review

Ashwini Aithal Padur et al. J Thyroid Res. 2016.

Abstract

Diseases associated with the thyroid gland are one of the most frequently seen endocrine disorders across the globe. Total thyroidectomy is currently the preferred treatment for many thyroid diseases. Controversies exist among surgeons regarding safety of total thyroidectomy due to the risk associated with it like postoperative hypoparathyroidism or recurrent laryngeal nerve damage. Since, in the recent years, the incidence of thyroidectomy is in increasing trend in south Indian population, this review aims to study the available data regarding the appropriateness and safety of total thyroidectomy and compares it with subtotal thyroidectomy and other thyroid surgeries. This is a retrospective comprehensive review of various articles and publications regarding total and partial thyroidectomy performed across the world. Many retrospective studies and few prospective studies suggest that the incidence of transient hypocalcemia is higher after total thyroidectomy than after subtotal thyroidectomy, but the incidence of other complications including recurrent laryngeal nerve palsy and postoperative hematoma is not significantly different between the two procedures. Hence in our review we found that total thyroidectomy is safe and cost effective with low complication rates and provides little significant advantage of being safer procedure compared to subtotal thyroidectomy.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow diagram of literature search.
See this image and copyright information in PMC

References

    1. Standring S. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 39th. London, UK: Elsevier; 2008.
    1. Kochupillai N. Clinical endocrinology in India. Current Science. 2000;79(8):1061–1067.
    1. Bellantone R., Lombardi C. P., Bossola M., et al. Total thyroidectomy for management of benign thyroid disease: review of 526 cases. World Journal of Surgery. 2002;26(12):1468–1471. doi: 10.1007/s00268-002-6426-1. - DOI - PubMed
    1. Bron L. P., O'Brien C. J. Total thyroidectomy for clinically benign disease of the thyroid gland. British Journal of Surgery. 2004;91(5):569–574. doi: 10.1002/bjs.4507. - DOI - PubMed
    1. Loch-Wilkinson T. J., Stalberg P. L. H., Sidhu S. B., Sywak M. S., Wilkinson J. F., Delbridge L. W. Nerve stimulation in thyroid surgery: is it really useful? ANZ Journal of Surgery. 2007;77(5):377–380. doi: 10.1111/j.1445-2197.2007.04065.x. - DOI - PubMed

LinkOut - more resources