Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy

Objective To investigate the prevalence of hypothyroidism following thyroid lobectomy with isthmus preservation. Methods This retrospective, case series study included patients who had undergone thyroid lobectomy with preserved isthmus that was reversed onto the contralateral lobe. Neck ultrasound w...

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Main Author: Abdulwahid M. Salih
Format: Article
Language:English
Published: SAGE Publishing 2018-09-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060518781228
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author Abdulwahid M. Salih
author_facet Abdulwahid M. Salih
author_sort Abdulwahid M. Salih
collection DOAJ
description Objective To investigate the prevalence of hypothyroidism following thyroid lobectomy with isthmus preservation. Methods This retrospective, case series study included patients who had undergone thyroid lobectomy with preserved isthmus that was reversed onto the contralateral lobe. Neck ultrasound was performed in all patients and the patients were followed for 2 years. Results Out of 170 patients enrolled into the study, three were excluded due to preoperative hypothyroidism and one due to isthmusectomy; of the remaining 166 included in the final analyses, 139 patients (83.7%) were female, 27 (16.3%) were male, and patient age ranged between 17 and 77 years. The indication for intervention was thyroid swelling in 141 patients (84.9%). Final diagnoses following histopathological examination comprised benign lesion in 145 cases (87.3%), malignancy (follicular carcinoma and papillary thyroid carcinoma) in 12 cases (7.2%) and thyroiditis in nine cases (5.4%). During the 2-year post-surgery follow-up, 165 patients (99.4%) were euthyroid and one patient (0.6%) developed hypothyroidism. Conclusion Postoperative hypothyroidism following thyroid lobectomy appears to be very rare when the isthmus is preserved and reversed onto the contralateral lobe.
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spelling doaj.art-38d6f0fdefae45118b8fe9ae8f75672e2022-12-21T23:10:04ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002018-09-014610.1177/0300060518781228Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomyAbdulwahid M. SalihObjective To investigate the prevalence of hypothyroidism following thyroid lobectomy with isthmus preservation. Methods This retrospective, case series study included patients who had undergone thyroid lobectomy with preserved isthmus that was reversed onto the contralateral lobe. Neck ultrasound was performed in all patients and the patients were followed for 2 years. Results Out of 170 patients enrolled into the study, three were excluded due to preoperative hypothyroidism and one due to isthmusectomy; of the remaining 166 included in the final analyses, 139 patients (83.7%) were female, 27 (16.3%) were male, and patient age ranged between 17 and 77 years. The indication for intervention was thyroid swelling in 141 patients (84.9%). Final diagnoses following histopathological examination comprised benign lesion in 145 cases (87.3%), malignancy (follicular carcinoma and papillary thyroid carcinoma) in 12 cases (7.2%) and thyroiditis in nine cases (5.4%). During the 2-year post-surgery follow-up, 165 patients (99.4%) were euthyroid and one patient (0.6%) developed hypothyroidism. Conclusion Postoperative hypothyroidism following thyroid lobectomy appears to be very rare when the isthmus is preserved and reversed onto the contralateral lobe.https://doi.org/10.1177/0300060518781228
spellingShingle Abdulwahid M. Salih
Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy
Journal of International Medical Research
title Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy
title_full Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy
title_fullStr Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy
title_full_unstemmed Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy
title_short Prevalence of hypothyroidism among patients with isthmus-preserved thyroid lobectomy
title_sort prevalence of hypothyroidism among patients with isthmus preserved thyroid lobectomy
url https://doi.org/10.1177/0300060518781228
work_keys_str_mv AT abdulwahidmsalih prevalenceofhypothyroidismamongpatientswithisthmuspreservedthyroidlobectomy