The choice of surgery in patients with diffuse toxic goiter

Vachev A.N.; Frolova E.V.; Sakhipov D.R.; Morkovskikh N.V.

doi:https://doi.org/10.17116/hirurgia2016813-17

Vachev A.N.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Frolova E.V.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia

SPIN RSCI: 1212-0030
Scopus AuthorID: 37037140300
ResearcherID: O-4134-2014
ORCID: 0000-0002-5569-5175

Sakhipov D.R.

Department and Clinic of Faculty Surgery, Samara State Medical University, Ministry of Health of the Russian Federation, Russia

Morkovskikh N.V.

Department and Clinic of Faculty Surgery, Samara State Medical University, Ministry of Health of the Russian Federation, Russia

The choice of surgery in patients with diffuse toxic goiter

Authors:

Vachev A.N., Frolova E.V., Sakhipov D.R., Morkovskikh N.V.

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Journal: Pirogov Russian Journal of Surgery. 2016;(8): 13‑17

DOI: 10.17116/hirurgia2016813-17

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To cite this article:

Vachev AN, Frolova EV, Sakhipov DR, Morkovskikh NV. The choice of surgery in patients with diffuse toxic goiter. Pirogov Russian Journal of Surgery. 2016;(8):13‑17. (In Russ.)
https://doi.org/10.17116/hirurgia2016813-17

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To define clear individual indications for different operations for diffuse toxic goiter by research of immunological markers of thyrotoxicosis recurrence probability. Material and methods. Long-term results of survey and treatment of 215 patients with diffuse toxic goiter are presented. Patients were divided into 2 groups. The 1st group consisted of 31 patienrs who underwent conventional partial thyroidectomy. Group 2 included 184 patients. They were divided into 2 subgroups depending on type of surgery. Subgroup A included 59 patients after partial thyroidectomy and subgroup B - 125 patients after total thyroidectomy. In group 2 surgery was defined based on only level of antibodies against TSH-receptors. Results. Recurrence incidence was 16 and 0% in groups 1 and 2 respectively. Conclusion. In patients with diffuse toxic goiter partial thyroidectomy is possible if normal titer of antibodies against TSH-receptors is present (<1.5 U/l). Total thyroidectomy is advisable in titer ≥1.5 U/l.

Keywords:

diffuse toxic goiter

antibodies against TSH-receptors

partial thyroidectomy

total thyroidectomy

differentiated approach

Authors:

Vachev A.N.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Frolova E.V.

A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia

SPIN RSCI: 1212-0030
Scopus AuthorID: 37037140300
ResearcherID: O-4134-2014
ORCID: 0000-0002-5569-5175

Sakhipov D.R.

Department and Clinic of Faculty Surgery, Samara State Medical University, Ministry of Health of the Russian Federation, Russia

Morkovskikh N.V.

Department and Clinic of Faculty Surgery, Samara State Medical University, Ministry of Health of the Russian Federation, Russia

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References:

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