Comparison of Thyroid Surgery Experiences of “East” and ”West” Regions in Turkey
Elbrus Zarbaliyev1, Dauren Sarsenov2, Uguray Payam Hacisalihoglu3, Sebahattin Celik41Department of General Surgery, Gaziosmanpaşa Hospital, Yeni Yüzyil University, İstanbul, Turkey
2Department of General Surgery, Nazif Bağrıaçık Kadıköy Hospital, İstanbul, Turkey
3Department of Pathology, Gaziosmanpaşa Hospital, Yeni Yüzyil University, İstanbul, Turkey
4Department of General Surgery, Van Yüzüncü Yıl University, Van, Turkey
Objective: This study aimed to evaluate the differences between the types of thyroidectomy surgeries and surgical treatment approaches according to thyroid pathology results, in Turkey's two non-endemic regions.
Material and Methods: Two different centers of the country, which differ in many respects, anda re non-endemic for thyroideal diseases were included in the study. Data on patients from both sexes, who underwent thyroidectomy in the western (1st center) and the eastern (2nd center) regions between 2011 and 2017 has been reviewed.
Results: Two hundred and forty patients from Istanbul (1st center) and 992 patients fromVan (2nd center); a total of 1232 patients were included in the study. According to the preoperative ultrasonography and labaratory results, toxic nodular goiter and multinodular goiter were the most common diseases in the first and second centers respectively. There was a significant statistical difference between the radiological diagnostic findings between the two centers, (p<0.001). The rate of bilateral total thyroidectomy (BTT) in the first center was 82.5% (198 patients), whereas, this rate was 58.5% (555 patients) in the second center. The type of surgery may change from center to center, (p< 0.001). The most common early post- thyroidectomy complication was hypocalcemia in both centers.
Conclusion: The results from only two centers from the western and eastern Turkey show that there is a difference between the thyroidectomy preferences. Future similiar national studies will contribute to the provision of a consensus in surgical treatment of thyroid diseases.
Corresponding Author: Elbrus Zarbaliyev
Manuscript Language: English