Total thyroidectomy for the surgical treatment of multinodular goiter.

Abstract:

PURPOSE:The indications for surgical treatment of multinodular goiter (MNG) are pressure symptoms, suspicion of malignancy, and cosmetic concerns. We report our clinical experience of performing total thyroidectomy (TT) for MNG, focusing on outcome and complications, to evaluate its effectiveness. METHODS:The medical records of 154 patients who underwent TT for MNG between 2005 and 2007 were reviewed retrospectively. We examined the ratio of thyroid nodules to the thyroid gland, pathological fine-needle aspiration biopsy findings, and the ultrasonographic characteristics of the nodules, and recorded the early and late postoperative complications. RESULTS:The most frequent indications for surgery were large nodules with or without radiological suspicion of malignancy (65%), hyperthyroidism (20%), and cosmetic problems or compression symptoms (15%). Seventeen (11%) patients had symptomatic, transient hypocalcemia, and 1 (0.6%) had permanent hypocalcemia. Other complications included hematoma in 1 (0.6%) patient, temporary unilateral recurrent laryngeal nerve palsy in 10 (6.4%), permanent unilateral recurrent laryngeal nerve palsy in 3 (1.9%), and seroma in 2 (1.3%). There was no significant relationship between complications and histopathology, nodule size, thyroid size, hyperthyroidism, age, or gender. CONCLUSION:Total thyroidectomy is the right surgical decision for MNG since it achieves complete remission of symptoms and eliminates malignancy, with low morbidity and mortality rates.

journal_name

Surg Today

journal_title

Surgery today

authors

Dogan L,Karaman N,Yilmaz KB,Ozaslan C,Atalay C

doi

10.1007/s00595-009-4272-6

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

323-7

issue

3

eissn

0941-1291

issn

1436-2813

journal_volume

41

pub_type

杂志文章
  • Indications for thyroid cancer surgery in elderly patients.

    abstract:PURPOSE:To define the indications for thyroid cancer surgery in elderly patients. METHODS:We compared the clinical characteristics of thyroid cancers in 85 elderly patients, defined as those aged > or =75 years, with those of 37 young patients, defined as those aged <30 years. The elderly group included patients who u...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-008-3951-z

    authors: Matsuyama H,Sugitani I,Fujimoto Y,Kawabata K

    更新日期:2009-01-01 00:00:00

  • Portal hypertensive gastropathy after surgery for biliary atresia.

    abstract:PURPOSE:To clarify the correlation between portal hypertensive gastropathy (PHG) and clinical features after surgery for biliary atresia (BA). METHODS:Routine upper gastrointestinal endoscopies were done over 3 years in 27 children who underwent surgery for BA. We reviewed the recorded endoscopic findings, and retrosp...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-004-2954-7

    authors: Sasaki T,Hasegawa T,Shimizu Y,Kimura T,Soh H,Fukuzawa M

    更新日期:2005-01-01 00:00:00

  • Diagnosis and management of metastatic gastrinoma by multimodality treatment including liver transplantation: report of a case.

    abstract::Neuroendocrine tumors of the pancreas are being recognized with increasing frequency, not because the incidence has increased, but as a result of improvements in diagnostic tools such as radioimmunoassays for a variety of circulating peptides, and imaging methods that include positron emission tomography (PET) and imm...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950050182

    authors: Gottwald T,Köveker G,Büsing M,Lauchart W,Becker HD

    更新日期:1998-01-01 00:00:00

  • The role of fine-needle aspiration and intraoperative frozen section in the surgical management of solitary thyroid nodules.

    abstract:PURPOSE:We evaluated the role of intraoperative frozen section (FS) in the surgical management of solitary thyroid nodules, as its true value is a subject of some controversy. METHODS:We reviewed the records of 206 consecutive patients operated on for solitary thyroid nodules. All patients had undergone both preoperat...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950200167

    authors: Duek SD,Goldenberg D,Linn S,Krausz MM,Hershko DD

    更新日期:2002-01-01 00:00:00

  • Solitary cavernous hemangioma of the duodenum: report of a case.

    abstract::Vascular lesions of the duodenum, including hemangioma, are rare causes of gastrointestinal bleeding. We herein describe a 52-year-old woman with a solitary cavernous hemangioma of the duodenum that caused chronic gastrointestinal bleeding. Repeated upper gastrointestinal endoscopy and a barium meal study revealed a s...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311641

    authors: Fujikawa T,Kurata M,Takaori K,Matsusue S,Takeda H,Sakai S

    更新日期:1996-01-01 00:00:00

  • Analysis of the impact of the body mass index in patients with gastric carcinoma.

    abstract:BACKGROUND:Body mass index (BMI) has been suggested to provide clinicopathological information in tumor development and progression in patients with gastric carcinoma. METHODS:The correlation of BMI with clinicopathological features and operation-related factors was analyzed in 308 patients with gastric carcinoma who ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-012-0183-z

    authors: Nozoe T,Kohno M,Iguchi T,Mori E,Maeda T,Matsukuma A,Ezaki T

    更新日期:2012-10-01 00:00:00

  • Lymph node metastasis in cancer of the middle-third stomach: criteria for treatment with a pylorus-preserving gastrectomy.

    abstract::A retrospective study was conducted to establish the criteria for performing a pylorus-preserving gastrectomy. This study was performed on 491 patients who had cancer of the middle-third stomach and had been curatively treated with a distal gastrectomy. The incidence of node metastasis for each lymph node station (the...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950170168

    authors: Kodera Y,Yamamura Y,Kanemitsu Y,Shimizu Y,Hirai T,Yasui K,Morimoto T,Kato T

    更新日期:2001-01-01 00:00:00

  • The efficacy of active drainage for preventing postoperative organ/space surgical site infections in patients with Crohn's disease.

    abstract:PURPOSE:Patients with Crohn's disease (CD) show a higher incidence of surgical site infections (SSIs) after bowel resection in comparison to other patient populations because CD patients commonly suffer from anemia, malnutrition, and immunosuppression. In comparison to conventional passive drainage, active drainage usi...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-017-1549-z

    authors: Ikeshima R,Mizushima T,Takahashi H,Haraguchi N,Nishimura J,Hata T,Matsuda C,Ikenaga M,Nakajima K,Yamamoto H,Murata K,Doki Y,Mori M

    更新日期:2018-01-01 00:00:00

  • Combined oxidized cellulose and cyanoacrylate glue in the management of severe presacral bleeding.

    abstract::Massive presacral bleeding is a severe complication during a resection of the rectum. The combination of oxidized cellulose and cyanoacrylate glue can quickly control presacral bleeding. This report presents nine cases since 2002 of presacral hemorrhage treated using this method. There was no recurrent bleeding during...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4012-y

    authors: Chen Y,Chen F,Xie P,Qiu P,Zhou J,Deng Y

    更新日期:2009-01-01 00:00:00

  • Adenocarcinoma arising in a tailgut cyst: report of a case.

    abstract::We report herein the unusual case of a 66-year-old woman found to have adenocarcinoma arising in a tailgut cyst. The patient had been observed for 6 months following the discovery of a presacral cystic mass measuring 10 x 9 cm for which she had refused surgery. The serum tumor marker, carcinoembryonic antigen, became ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02482826

    authors: Maruyama A,Murabayashi K,Hayashi M,Nakano H,Isaji S,Uehara S,Kusuda T,Miyahara S,Kondo A,Nakano H,Yabana T

    更新日期:1998-01-01 00:00:00

  • Lung cancer associated with Sweet's syndrome: report of a case.

    abstract::Lung cancer associated with Sweet's syndrome is extremely rare. There are only seven reports of such cases. As far as could be determined from a comprehensive search, there is no reported operative case of lung cancer with this syndrome in the world literature. A 75-year-old Japanese man was diagnosed as having Sweet'...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-007-3683-5

    authors: Arai H,Rino Y,Yamanaka S,Suganuma N,Yukawa N,Wada N,Hara S,Hirokado M,Oshiro H,Masuda M

    更新日期:2008-01-01 00:00:00

  • The significance of proliferating cell nuclear antigen (PCNA) expression in cancer of the ampulla of vater in terms of prognosis.

    abstract::Seventeen patients with cancer of the ampulla of Vater were studied retrospectively using immunohistochemical staining with a monoclonal antibody to the proliferating cell nuclear antigen (PCNA). The relationships between the PCNA-positive rate, being the number of PCNA-positive cancer cells to total cancer cells, the...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF01884567

    authors: Isozaki H,Okajima K,Ichinona T,Tanimura M,Morita S,Takada Y,Ishibashi T,Hara H

    更新日期:1994-01-01 00:00:00

  • Enhanced hepatic portal blood flow induced by prostaglandin E1 following liver transplantation in pigs.

    abstract::Portal venous blood flow (PVF), hepatic arterial blood flow (HAF), and systemic arterial pressure (SAP) were examined after prostaglandin E1 (PGE1) was injected into the vena cava superior (VCS) of liver-transplanted pigs. The injection of PGE1 at 0.2 micrograms/kg/min for 2 min on the day of transplantation and 3 day...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF01833727

    authors: Tsukada K,Sakaguchi T,Tomiyama T,Uchida K,Sato Y,Tsubono T,Ohtake M,Koyama S,Aono T,Hatakeyama K

    更新日期:1994-01-01 00:00:00

  • The succinate dehydrogenase inhibition test for evaluating biopsy specimens and resected tumors of advanced gastric cancer.

    abstract::An in vitro chemosensitivity study of both biopsy specimens and surgically resected tumors of advanced gastric cancer from 12 patients was evaluated using the succinate dehydrogenase inhibition (SDI) test. A decrease in succinate dehydrogenase (SD) activity as an indicator of chemosensitivity was determined using cisp...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00308895

    authors: Kimura H,Yonemura Y,Ohyama S,Tsugawa K,Kinoshita K,Ninomiya I,Kosaka T,Miwa K,Miyazaki I,Tanaka M

    更新日期:1992-01-01 00:00:00

  • Regulation of methionine adenosyltransferase activity by the glutathione level in rat liver during ischemia-reperfusion.

    abstract::Hepatic ischemia was induced by clamping the hepatic artery, portal vein, and bile duct. After 15 min of ischemia, the hepatic glutathione (GSH) content rapidly decreased. On the other hand, after the start of reperfusion, the hepatic GSH levels promptly increased and reached a peak at about 1 h, and thereafter decrea...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/PL00010035

    authors: Ito K,Miwa N,Hagiwara K,Yano T,Shimizu-Saito K,Goseki N,Iwai T,Horikawa S

    更新日期:1999-01-01 00:00:00

  • Postradiation sarcoma of the chest wall: report of two cases.

    abstract::Postradiation sarcoma is a rare late complication of external radiotherapy. We herein present two cases with this disease. A 54-year-old man had undergone a lobectomy and chest wall resection for Pancoast type lung cancer 7 years previously. He had undergone irradiation with a total dose of 50 Gy. Computed tomography ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-004-3300-9

    authors: Ninomiya H,Miyoshi T,Shirakusa T,Shiraishi T,Yamamoto N,Nabeshima K

    更新日期:2006-01-01 00:00:00

  • Right hemi-reconstruction of the left atrium using two equine pericardial patches for recurrent malignant fibrous histiocytoma: report of a case.

    abstract::We report a case of recurrent malignant fibrous histiocytoma (MFH) in the left atrium, treated by removal of the tumor and the right half of the left atrium, which was reconstructed with two equine pericardial patches. Postoperative echocardiography showed patent right pulmonary veins and a properly shaped left atrium...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-008-3920-6

    authors: Inoue H,Iguro Y,Matsumoto H,Ueno M,Higashi A,Sakata R

    更新日期:2009-01-01 00:00:00

  • Mesenchymal hamartoma of the liver accompanied by a daughter nodule: report of a case.

    abstract::Mesenchymal hamartoma of the liver (MHL) is an uncommon benign tumor found primarily in children younger than 2 years of age. We report a rare case of MHL with a daughter nodule and atypical histological findings in a 14-month-old girl. On admission, computed tomography, magnetic resonance imaging, and angiography sho...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-007-3494-8

    authors: Fukahori S,Tsuru T,Tanikawa K,Akiyoshi K,Asagiri K,Tanaka Y,Kage M,Kojiro M,Mizote H,Yagi M

    更新日期:2007-01-01 00:00:00

  • Situs inversus totalis with malignant lymphoma of the stomach: report of a case.

    abstract::Situs inversus totalis is a rare congenital anomaly that often occurs concomitantly with other disorders. We report a case of situs inversus totalis with malignant lymphoma of the stomach, which was successfully treated by surgery followed by chemotherapy and irradiation. The patient was a 51-year-old woman who presen...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s10595-002-2530-z

    authors: Murakami S,Terakado M,Misumi M,Tsuji Y,Okubo K,Hirayama R,Inoue K,Arai E

    更新日期:2003-01-01 00:00:00

  • Off-pump open pulmonary embolectomy for major bilateral pulmonary emboli: report of a case.

    abstract::Acute massive or submassive pulmonary artery thromboembolism causes sudden hemodynamic deterioration, warranting immediate surgery. We report the case of a 67-year-old woman who suffered a syncopal attack resulting in shock, 3 weeks after undergoing orthopedic surgery. Preoperative radiologic imaging studies, includin...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-005-3148-7

    authors: Moon SW,Jo KH,Wang YP,Kim YK,Kwon OK

    更新日期:2006-01-01 00:00:00

  • Tracheal resection for malignant and benign diseases: surgical results and perioperative considerations.

    abstract:PURPOSE:Tracheal surgery is an established treatment for various diseases; however, it is still a potentially challenging procedure. We herein discuss the safety of this procedure with regard to the coordination with airway interventional and anesthetic support. METHODS:A tracheal resection was performed on 18 patient...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-010-4303-3

    authors: Shiraishi T,Yanagisawa J,Higuchi T,Hiratsuka M,Hamatake D,Imakiire N,Ohbuchi T,Yoshinaga Y,Iwasaki A

    更新日期:2011-04-01 00:00:00

  • Enhanced induction of apoptosis in lung adenocarcinoma after preoperative chemotherapy with tegafur and uracil (UFT).

    abstract:PURPOSE:To determine if the preoperative administration of tegafur and uracil (UFT) to patients with lung adenocarcinoma could induce apoptosis. METHODS:We conducted a randomized prospective study on 30 patients with lung adenocarcinoma, divided into two groups of 15 patients each. One group received UFT 600 mg/day pr...

    journal_title:Surgery today

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00595-004-2814-5

    authors: Morio A,Miyamoto H,Izumi H,Futagawa T,Oh T,Yamazaki A,Konno H

    更新日期:2004-01-01 00:00:00

  • Successful resection of a primary cardiac fibroma in a neonate: report of a case.

    abstract::During the fetal-neonatal period, a primary cardiac tumor may be completely asymptomatic and such tumors may be incidentally discovered by echocardiography. A four-hour-old male was diagnosed to have a cardiac tumor by post-natal echocardiography and was observed closely. Surgery was indicated immediately at the 3 wee...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-013-0614-5

    authors: Yan XG,Jia B,Zhu BX,Hu XH

    更新日期:2014-09-01 00:00:00

  • Serum calcitonin reference values for calcium stimulation tests by electrochemiluminescence immunoassay in Japanese men with non-medullary thyroid carcinoma.

    abstract:PURPOSE:Calcitonin is the most sensitive tumor marker of medullary thyroid carcinoma (MTC) and a calcium stimulation test is used to improve this sensitivity. In Japan, the electrochemiluminescence immunoassay (ECLIA) is currently the only test performed to measure serum calcitonin. There is a gender difference in the ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-017-1578-7

    authors: Kihara M,Miyauchi A,Kudo T,Hirokawa M,Miya A

    更新日期:2018-02-01 00:00:00

  • Management of obstructive colorectal cancer: evaluation of preoperative bowel decompression using ileus tube drainage.

    abstract:PURPOSE:This study evaluated a better treatment for patients with obstructive colorectal cancer (CRC) that have a poor prognosis. METHOD:This study compared the outcomes of 138 patients with obstructive CRC, including 70 primary resections, 50 resections after bowel decompression using an ileus tube, and 18 delayed re...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-011-0116-2

    authors: Hotta T,Takifuji K,Kobayashi Y,Tabuse K,Shimada K,Maeda T,Nakatani Y,Fukiage O,Yamaue H

    更新日期:2012-12-01 00:00:00

  • Metabolism of prostaglandins in porcine liver transplantation with a graft harvested after 30- and 60-minute warm ischemia.

    abstract::The influence of warm ischemia on the metabolism of prostaglandins was investigated using a pig liver transplantation model employing the temporary portal arterialization technique. Eighteen pigs were divided into three groups according to warm ischemia time: 0 min (group I, n = 6), 30 min (group II, n = 6), and 60 mi...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02484623

    authors: Isai H,Kimura J,Ito K,Tamura M,Kon H,Kamachi H,Takahashi M,Yamashita K,Shimamura T,Nakajima Y

    更新日期:1998-01-01 00:00:00

  • Ischemia–reperfusion injury in patients with fatty liver and the clinical impact of steatotic liver on hepatic surgery.

    abstract::Hepatic steatosis is one of the most common hepatic disorders in developed countries. The epidemic of obesity in developed countries has increased with its attendant complications, including metabolic syndrome and non-alcoholic fatty liver disease. Steatotic livers are particularly vulnerable to ischemia/reperfusion i...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-013-0736-9

    authors: Tashiro H,Kuroda S,Mikuriya Y,Ohdan H

    更新日期:2014-09-01 00:00:00

  • Hydrogen sulfide augments survival signals in warm ischemia and reperfusion of the mouse liver.

    abstract:BACKGROUND AND PURPOSE:Hydrogen sulfide (H2S) ameliorates hepatic ischemia and reperfusion injury (IRI), but the precise mechanism remains elusive. We investigated whether sodium hydrogen sulfide (NaHS), a soluble derivative of H2S, would ameliorate hepatic IRI, and if so, via what mechanism. METHODS:Mice were subject...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-014-1064-4

    authors: Shimada S,Fukai M,Wakayama K,Ishikawa T,Kobayashi N,Kimura T,Yamashita K,Kamiyama T,Shimamura T,Taketomi A,Todo S

    更新日期:2015-07-01 00:00:00

  • Surgical treatment of massive splenomegaly and severe hypersplenism secondary to extrahepatic portal venous obstruction in children.

    abstract:PURPOSE:Massive splenomegaly with severe hypersplenism can occur as a late complication of portal hypertension (PH) caused by extrahepatic portal venous obstruction (EHPVO) in children. Severe hypersplenism is often refractory to treatment with endoscopic sclerotherapy (EST) and shunt surgery. We report our experience ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-006-3333-3

    authors: Subhasis RC,Rajiv C,Kumar SA,Kumar AV,Kumar PA

    更新日期:2007-01-01 00:00:00

  • Hemodynamic and humoral effects of atrial natriuretic peptide on pulmonary circulation after cardiac surgery.

    abstract:PURPOSE:Human atrial natriuretic peptide (h-ANP) elicits biological effects such as natriuresis, diuresis, and vasodilation, and plays a role in regulating pulmonary circulation. We conducted this clinical study to define its role and elucidate its mechanisms. METHODS:Twelve consecutive adult patients scheduled to und...

    journal_title:Surgery today

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00595-007-3649-7

    authors: Morimoto K,Taniguchi I,Miyasaka S,Ishiguro S,Ohgi S

    更新日期:2008-01-01 00:00:00