Tiroidectomía total en el bocio multinodular benigno / [Total thyroidectomy treatment of bening multinodular goiter].

ABSTRACT

INTRODUCTION: The treatment of benign multinodular goiter (BMNB) is a matter of ongoing debate in recent decades despite evidence that total thyroidectomy (TT) is associated with a significant reduction in disease recurrence and minimal morbidity in trained hands. OBJECTIVE: Determine BMNB recurrence after 10 years in 100 patients treated with TT and evaluate the technique-related complications. DESIGN: Prospective non randomized. MATERIAL AND METHODS: From March 1999 to March 2001, one hundred patients, 95 female, with an average age of 42.4 years (range 23-67) underwent TT for having a BMNB, which was confirmed by cervical ultrasound, which also served as a guide to perform fine-needle aspiration (FNA). In all cases, laryngoscopy was performed before and after post-surgical bitstream. RESULTS: Mean operative time was 49 minutes (range 35-58). Recurrencial recorded paralysis (1