Surgical indication , key point and prevention of complication of total thyroidectomy        ZENG Zhi-jun，OU Di-peng,，YANG Lian-yue. Department of Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
Corresponding author：YANG Lian-yue，E-mail:lianyueyang@hotmail.com
Abstract    Objective    To discuss the surgical indication, key point and prevention of complication of total thyroidectomy. Methods    A retrospective analysis of the clinical records of 107 patients from March 2000 to March 2010 at Xiangya Hospital, Central South University undergoing total thyroidectomy was analyzed for the treatment for thyroid diseases. Results    Total thyroidectomy was performed in 107 patients including 71 cases of thyroid carcinoma, 25 cases of giant nodular goiter, 6 cases of hyperthyroidism, 5 cases of Hashimoto thyroiditis. All patients discharged and postoperative complications incidence was 4.6%. Two patients had one-sided recurrent laryngeal nerve injury and temporary hypoparathyroidism occurred in 2 cases. One case had neck swelling in 24 hours. Conclusion    Total thyroidectomy could be indicated as differentiated thyroid carcinoma. Precise operation is important to prevent the postoperative complication.