Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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SURGICAL TREATMENT OF TOXIC NODULAR GOITERS
V. Filip, R. Moldovanu, Elena Cotea, D. Niculescu, N. Vlad, Geanina Curcă
First Surgical Clinic „I. Tănăsescu – Vl. Buţureanu”,
„St. Spiridon” Hospital Iaşi
University of Medicine and Pharmacy „Gr.T. Popa” Iaşi
Jurnalul de chirurgie 2008; 4 (1):3-8
Full text: PDF Format (Engleză/English)

Abstract:

Hyperthyroidism (or thyrotoxicosis) is associated with clinical manifestations related to an excess of thyroid hormones. Although there are many causes, three are of primary concern to the surgeon. Excluding Graves disease, the other two relevant causes of hyperthyroidism are toxic nodular goiter and a single toxic nodule. Preoperative preparation of the hyperthyroid patient is essential to avoid intraoperative or postoperative thyroid storm. Standard surgical treatment of toxic nodular goiter consists of bilateral subtotal thyroidectomy. Alternative procedures are total lobectomy, isthmectomy and contralateral subtotal lobectomy, or total thyroidectomy, procedures used more and more frecquent in our days. Concerning the solitary toxic nodule, the procedure of choice is subtotal or total thyroid lobectomy and isthmectomy, eventually with a frozen-section pathologic examination. Other indications of surgical treatment is the association of hyperthyroidism with thyroid cancer or thyroiditis.

KEY WORDS: THYROTOXICOSIS, TOXIC NODULAR GOITER, SOLITARY TOXIC NODULE, SUBTOTAL/TOTAL THYROID LOBECTOMY

Correspondence to: Viorel Filip, MD, PhD, First Surgical Clinic, „St. Spiridon” Hospital Iaşi, 700111, Bd. Independenţei, No. 1, Iaşi, Romania



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.