Preliminary outcome of operation for treating Basedow’s disease at National Hospital of Endocrinology

ABSTRACT

From 25 January 2002 to 11 May 2004, there were 200 patients operated at National Hospital of Endocrinology for treatment of Grave’s disease. Ratios of male/female were approximately 2/8. Most of them were in the range of age from 20 to 49 years old (81.0%). The operative indication included the euthyroid cases. The preoperative preparing by Lugol solution, prednisolon was necessary. The techniques of operation included total thyroidectomy for 14 patients (7%), near total thyroidectomy with small amount of thyroid tissue left at the superior pole for 9 (4.5%), and with posterior wall remnant for 177 (88.5%). The total thyroidectomy was performed for patients who were accompanied with nodules, were allergic to synthesis anti-thyroid drugs, or severe ophthalmopathy. There were no mortality as well as thyroid storm and tarchycardia after operation. There were 3 cases had to be reoperated due to hemorrhage, 3 cases of transient hoarseness (1.5%), 19 cases of transient hypocalcaemia (9.5%).Only 64 patients came to hospital for reexamination at 3 months after operation. Among them, there were 58 euthyroid cases (90.7%) with FT4 in normal limit