关键词: 甲状腺结节, 全甲状腺切除术, 甲状腺次全切除术, 复发

Abstract:

Application and assessment of total thyroidectomy for benign thyroid nodules        ZHANG Hao. Department of General Surgery，the First Hospital of China Medical University，Shenyang 110001，China
Abstract    Thyroid nodule is a common disease in clinical practice. Although the majority of thyroid nodules have been found to be benign. Some of them need to be surgically excised when meeting the indications. The thyroid operations include lobectomy，subtotal thyroidectomy and total/near total thyroidectomy，etc. The preferred operation for benign thyroid nodules remains controversial. Less extensive resection may be related to a higher risk of recurrence. While more extensive resection may be associated with a higher risk of recurrent laryngeal nerve injury or hypoparathyroidism. Total thyroidectomy has been used to treat benign thyroid nodules for a long history. It is an operation that can be safely performed nowadays，with low incidence of permanent complications. It has been the optimal surgery that can prevent recurrence and avoid reoperation in cases of benign thyroid nodules such as multiple nodular goiter in foreign countries since a long time ago. It is also suggested to perform the operation in case of bilateral benign thyroid nodules with surgical indications given the different technical levels of surgeons and different situation of individual patient in China.

Key words: thyroid nodule, total thyroidectomy, subtotal thyroidectomy, recurrence