Monitoraggio a breve e lungo termine mediante ultrasonografia ad elevata risoluzione (us-hr) del residuo tiroideo post-operatorio. Esperienza personale su 200 tiroidectomie


COD: 2000_05_547-558 Categorie: ,

A. Alberti, A. Dattola, A. Parisi, P. Maccarone, P. Dattola, S. Celi, M. Basile

Ann. Ital. Chir., LXXI, 5, 2000

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Background. After having abandoned conser vative operations of the thyroid (partial resection, enucleal resection) today total thyroidectomy and sub-total thyroidectomy and near total thyroidectomy are the operations of choice. Cause the frequent post-operative scintigraphic signs, on the 3rd month, of thyroidal residue of significative size, founded in our patients operated for sub-total thyroidectomy, we begun to study the echografical monitoring of the thyroidal recess.
Methods. From January 1995 to December 1997 we operated 200 patients for Thyroidectomy. The kinds of operations were: total thyroidectomy for 96 patients (48%), sub-total thyroidectomy for 64 patients (32%), and near total thyroidectomy for 40 patients (20%). We controlled all the patients by ecografical monitoring of the thyroidal recess to detect and to determinate the possible thyroidal residue, that it will be monitorized on the 7th day, on the 1st month, on the 6th month and on the 12th month. We measured the thyroidal residual dimensions and volume.