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Invited Critique
April 1, 2004

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

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.24 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.

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