Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004
Total thyroidectomy for bilateral nodular goiter has become the preferred surgical approach in many centers.1 This is because as many as 20% of incompletely resected bilateral goiters after lobectomy or subtotal thyroidectomy recur, thyroid hormone therapy for thyroid-stimulating hormone suppression does not appear to reduce the risk of postoperative recurrence, and thyroid reoperation for recurrent goiter may be associated with a higher risk of complications.2- 4 Although total thyroidectomy offers these advantages, the risk of complications from total thyroidectomy is considered by some to be higher than that from less extensive resections.
Kebebew E. Near-Total Thyroidectomy Could Be the Best Treatment for Thyroid Disease in Endemic Regions—Invited Critique. Arch Surg. 2004;139(4):447. doi:10.1001/archsurg.139.4.447