RETROSPECTIVE ANALYSIS OF THYROIDECTOMY CASES IN GENERAL SURGERY CLINIC OF A TRAINING AND RESEARCH HOSPITAL

PURPOSE:Thyroidectomy is a common procedure in general surgery clinics and has low morbidity rates in experienced hands. The aim of this study was to retrospectively evaluate the results of patients who underwent thyroidectomy in a general surgery clinic of a training and research hospital. MATERIAL AND METHOD: A total of 156 patients who underwent thyroidectomy for thyroid gland disease between August 2017 and September 2018 in Ankara Training and Research Hospital General Surgery Clinic were included in this study. Demographic data, fine needle aspiration biopsies, surgery techniques, complications and pathology results were analyzed retrospectively. RESULTS:132 (84.6%) of the patients were female and 24 (15.4%)of the patients were male. The mean age of the patients were 44.8 years, and the age range were 21-77 years. All patients underwent preoperative fine needle aspiration biopsy. Biopsy results are nondiagnostic in 22 patients, benign in 64 patients,insignificant atypia of undetermined significance in 26 patients, follicullar neoplasia in 4 patients, malignancy suspicion in 26 patients and malignant cytology in 14 patients. Of the 64 patients ,who had benign biopsy, pathology results were reported as papillary carcinoma in 10 (15.6 %) patients. Bilateral total thyroidectomy was performed in 143 patients (91.6%) and unilateral total thyroidectomy (lobectomy + isthmectomy) in 13 patients (8.4%). Unilateral neck dissection was performed in addition to bilateral total thyroidectomy for the 8 patients who had malign biopsy results. Also central neck dissection was performed in 5 patients who had malign biopsy results. Complications were observed as temporary hypocalcemia in 23 patients (14.7%), permanent hypocalcemia in 1 patient(0.6%), temporary recurrent nevre injury in 3 patients (1.9%), seroma in 3 patiens (1.9%), and hemoragia in 1 patient (0.6%). Permanent recurrent nevre injury was not observed in any patient. CONCLUSION: We believe that total thyroidectomy is the appropriate surgical technique in patients with nodular goiter because of the high rate of incidental malignancy and high rate of complications in cases of reccurrence