Bilateral Subtotal Thyroidectomy Versus Unilateral Total and Contralateral Subtotal Thyroidectomy for the Treatment of Hyperthyroidism

Objective: This work aimed to compare the safety and efficacy of unilateral total and contra lateral subtotal thyroidectomy versus bilateral subtotal thyroidectomy for the treatment of hyperthyroidism. Patients and Methods: 30 Patients suffering from hyperthyroidism i.e., Grave s disease or Toxic nodular goiter, were divided to two groups: •15 Patients were managed by unilateral total and contra lateral subtotal thyroidectomy. (Near total thyroidectomy). •15 Patients were managed by bilateral subtotal thyroidectomy. Both Groups were assessed pre and post operatively to compare the incidence of complications regarding RLNI, parathyroid gland injury and postoperative need for T4 replacement. Results: No significant difference in the incidence of complication between both groups i.e. Unilateral total and contra lateral subtotal thyroidectomy versus bilateral subtotal thyroidectomy. Conclusion: Near total thyroidectomy can be used effectively and with the same incidence of complication as subtotal thyroidectomy with logical lower incidence of recurrence.