Authors : Hameed A. Obituyi; Sunday O. Kehinde; Kayode V. Odunuga; Fadilat M. Gbajumo; Aisha S. Nurudeen; Chikaodinaka M. Odukwu

Volume/Issue : Volume 9 - 2024, Issue 11 - November

Google Scholar : https://tinyurl.com/tvr7yfxe

Scribd : https://tinyurl.com/3tmmpj9y

DOI : https://doi.org/10.5281/zenodo.14472427

Abstract : Background: Total thyroidectomy involves the removal of the whole thyroid gland. Capsular dissection is a special technique in which the gland is removed with its capsule intact while avoiding nearby structures. While this unique technique has not been widely practiced , it reduces risk of iatrogenic damage to close structures especially recurrent laryngeal nerve with minimal disease recurrence consequent surgical re-intervention. This Study intends to demonstrate the Superiority of Capsular Total thyroidectomy over Subtotal Thyroidectomy.  Methodology: This is a Retrospective clinical study conducted in the Department of General Surgery in General Hospital Lagos (January 2007-January 2016) and General Hospital Isolo (January 2021- January 2024). No statistical analysis was used in this study.  Results: One out of the 35 patients included in our study developed complication of Recurrent Laryngeal nerve palsy representing only 2.8%. There was no record of surgical hypocalcemia or recurrence of disease. The study demonstrates the safety of neighbouring structures which is the major concern in Total thyroidectomy.  Conclusion: The study revealed that Capsular dissection surgery is superior to Subtotal thyroidectomy in terms of preservation of close structures and minimal or no disease recurrence. Based on findings from our study, it is recommended that Capsular dissection should be practiced for Thyroid cases amenable to surgical care.

Keywords : Thyroidectomy, Capsular Dissection, Recurrent Laryngeal Nerve, Subtotal Thyroidectomy

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