Acun Zeki, Cinar Fikret, Cihan Alper, Ulukent Suat Can, Uzun Lokman, Ucan Bulent, Ugur M Birol
General Surgery Department, School of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey.
Am Surg. 2005 Mar;71(3):225-7.
In our clinic, near-total thyroidectomy is the principal surgical procedure performed for benign thyroid diseases. We conducted a single-institution study on 176 consecutive patients who underwent near-total thyroidectomy due to various thyroid diseases. We compared the incidence of recurrent laryngeal nerve injury between total and near-total thyroid lobectomy sides in each patient. Our hypothesis was that the incidence of recurrent laryngeal nerve injury after total thyroid lobectomy would be similar to that of near-total thyroid lobectomy when the course of the recurrent laryngeal nerve was identified during surgery. The temporary recurrent laryngeal nerve palsy rates on the total and near-total thyroid lobectomy sides were 3.9 per cent (7 of 176 nerves) and 2.2 per cent (4 of 176 nerves), respectively. The difference was not statistically significant. Permanent recurrent laryngeal nerve palsy did not occur in any of our patients. In conclusion, the incidence of recurrent laryngeal nerve injury in total versus near-total thyroid lobectomy is not different when the course of the recurrent laryngeal nerve is identified during surgery.
在我们的诊所，甲状腺次全切除术是针对良性甲状腺疾病实施的主要外科手术。我们对176例因各种甲状腺疾病接受甲状腺次全切除术的连续患者进行了一项单机构研究。我们比较了每位患者甲状腺全叶切除术侧和甲状腺次全叶切除术侧喉返神经损伤的发生率。我们的假设是，当在手术中确定喉返神经走行时，甲状腺全叶切除术后喉返神经损伤的发生率与甲状腺次全叶切除术相似。甲状腺全叶切除术侧和甲状腺次全叶切除术侧喉返神经暂时性麻痹的发生率分别为3.9%（176条神经中有7条）和2.2%（176条神经中有4条）。差异无统计学意义。我们的患者中均未发生永久性喉返神经麻痹。总之，当在手术中确定喉返神经走行时，甲状腺全叶切除术与甲状腺次全叶切除术中喉返神经损伤的发生率并无差异。
