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Our results confirm that minimally invasive thyroidectomy can be conducted safely, bearing in mind that patients who undergo total thyroidectomy have a higher risk of transient postoperative hypocalcemia than do patients who undergo hemithyroidectomy.
4 Hemithyroidectomy, n 40 0 Total thyroidectomy, n 20 14 Length of postop stay, n <24 hr 60 0 2 days 0 8 3 days 0 5 5 days 0 1 Normocalcemic 60 14 at 3 wk, n * Hypocalcemia was defined as a serum calcium level of less than 8.
After obtaining institutional review board approval, we conducted a retrospective chart review of all patients who had undergone a hemithyroidectomy from 1994 through 2003 at Northwestern Memorial Hospital in Chicago.
131]I) for multinodular goiter disease 2 years earlier, and she had been euthyroid prior to hemithyroidectomy.
The usual indication for hemithyroidectomy is the presence of a single dominant thyroid nodule in a patient whose fine-needle aspiration findings are suspicious or indeterminate.
Its advantages notwithstanding, hemithyroidectomy may result in hypothyroidism, and patients should be made aware of this possibility.
10) Therefore, given the lack of substantial evidence supporting the efficacy of thyroid suppression therapy in preventing recurrent thyroid disease, it seems prudent to forgo it as a routine strategy after hemithyroidectomy and to observe patients for the need for thyroid supplementation therapy.
1% of patients developed hypothyroidism after undergoing hemithyroidectomy for benign thyroid disease is consistent with others reported in the literature.
Our study, like others, has shown that the presence of certain factors may place a patient at a higher risk of developing hypothyroidism following hemithyroidectomy.
Proper management includes at least a hemithyroidectomy followed by appropriate antibiotic therapy.
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