Epidemiology and results of surgical treatment of euthyroid and toxic goiter depending on the peculiarities of clinical course, tracheal compression and comorbidity

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Abstract

Abstract


Aim: studying the frequency of tracheal compression and symptoms of chronic hypoxia in the structure of benign thyroid pathology requiring surgical treatment, as well as an assessment of comorbid pathology nature and the results of surgical treatment.

Materials and methods. A retrospective analysis of the results of surgical treatment for benign thyroid diseases was carried out in 100 patients.

Results. Toxic goiter (74%), tracheal compression (69%) dominated the structure of benign thyroid diseases. Arterial hypertension prevailed in trachea compression cases with statistical significance (χ2, p ≤ 0.01). Wheezing inspiration/expiration and the increase in respiration frequency were determined by the trachea stenosis at the level of the thyroid gland to 10 mm or less in 10 patients (10%) with a statistically significant prevalence of pulmonary hypertension (χ2, p ≤ 0.01). Thyroidectomy was the most common surgical intervention (80%). There was no statistically significant increase in surgical complications depending on the severity of tracheal compression, age, and concomitant pathology. There were no fatal outcomes.

Conclusion. Surgical treatment for benign thyroid pathology complicated by neck compression is necessary and safe regardless of age and associated diseases.


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About the authors

Elena A Ilyicheva

Irkutsk Scientific Centre of Surgery and Traumatology;
Irkutsk Regional Hospital

Email: lena_isi@mail.ru
ORCID iD: 0000-0002-2081-8665
SPIN-code: 3624-4643
Scopus Author ID: 16833579000

Russian Federation, 1, Bortsov Revolyutsii Street, 664003, Irkutsk, Russian Federation; 100, Yubileyniy disrict, 664049, Irkutsk, Russian Federation

MD, Professor, Head of the Scientific Department of Clinical Surgery; Thoracic surgeon of thoracic surgical unit

Gleb A Bersenev

Irkutsk Scientific Centre of Surgery and Traumatology

Email: glbersenev17@gmail.com
ORCID iD: 0000-0002-6887-8325

Russian Federation, 1, Bortsov Revolyutsii Street, 664003, Irkutsk, Russian Federation

Postgraduate

Valeriy N Makhutov

Irkutsk regional Hospital

Email: lena_isi@mail.ru
ORCID iD: 0000-0001-7318-7193
SPIN-code: 7627-5484

Russian Federation, 100, Yubileyniy disrict, 664049, Irkutsk, Russian Federation

PhD, Head of thoracic surgical unit

Gennadiy Yu Aldaranov

Irkutsk Regional Hospital

Email: aldaran87@mail.ru
ORCID iD: 0000-0003-3123-1939

Russian Federation, 100, Yubileyniy disrict, 664049, Irkutsk, Russian Federation

Thoracic surgeon of thoracic surgical unit

Eugene G Grigoryev

Irkutsk Scientific Centre of Surgery and Traumatology;
Irkutsk State Medical University

Author for correspondence.
Email: egg@iokb.ru
ORCID iD: 0000-0002-5082-7028
SPIN-code: 8969-4112
Scopus Author ID: 6603077953
ResearcherId: H-7659-2016

Russian Federation, 1, Bortsov Revolyutsii Street, 664003, Irkutsk, Russian Federation; 1, Krasnogo Vosstaniya Street, 664003, Irkutsk, Russian Federation

Corresponding member of RAS, MD, Professor, Scientific Director, Head of hospital surgery chair

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Copyright (c) Ilyicheva E.A., Bersenev G.A., Makhutov V.N., Aldaranov G.Y., Grigoryev E.G.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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