25-year experience of surgical treatment of thyroid diseases in a multidisciplinary hospital

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Abstract

BACKGROUND: Every year there is an increase in the number of patients with thyroid diseases, thus improving surgical treatment methods with decreased traumatic effect and postoperative complications, remains relevant.

AIM: To summarize the results of 25-year work of the team (surgeons and endocrinologists) of specialists from the multidisciplinary hospital of Saint Petersburg and the departments of the North-Western State medical university named after I.I. Mechnikov on the diagnosis and treatment of patients with surgical pathology of the thyroid gland.

MATERIALS AND METHODS: The results of surgical treatment of 3977 patients with thyroid diseases operated accoding to the traditional Kocher approach, asymmetric “floating” mini-approach and video-assisted mini-approach were analyzed.

RESULTS: In the analyzed time period, a rapid increase in the number of minimally invasive techniques for surgical operations on the thyroid gland is characteristic, which are used for nodular euthyroid goiter, multi-nodular euthyroid goiter and toxic thyroid adenoma. With the help of traditional approach, surgical intervention was performed mainly for diffuse toxic goiter and multinodular toxic goiter. The introduction of new techniques and approaches in the provision of medical care to patients with surgical diseases of the thyroid gland can significantly improve the results of treatment.

CONCLUSIONS: 25-year experience of the endocrinological center of the Elizabethan Hospital demonstrates that collaboration of departments and doctors of a multidisciplinary hospital allows to introduce new approaches to treating surgical thyroid diseases and improve its results without increasing the number of postoperative complications.

About the authors

Evgeniy M. Trunin

The City Hospital of the Holy Martyr Elizabeth (Elizabethan Hospital); North-Western State Medical University named after I.I. Mechnikov

Email: Evgeniy.Trunin@szgmu.ru
ORCID iD: 0000-0002-2452-0321
SPIN-code: 5903-0288

MD, Dr. Sci (Medicine)

Russian Federation, Saint Petersburg; Saint Petersburg

Vladislav V. Tatarkin

The City Hospital of the Holy Martyr Elizabeth (Elizabethan Hospital); North-Western State Medical University named after I.I. Mechnikov

Email: vlad1k2@yandex.ru
ORCID iD: 0000-0002-9599-3935
SPIN-code: 5008-4677

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg; Saint Petersburg

Natalia V. Vorokhobina

The City Hospital of the Holy Martyr Elizabeth (Elizabethan Hospital); North-Western State Medical University named after I.I. Mechnikov

Email: Natalya.Vorokhobina@szgmu.ru
ORCID iD: 0000-0002-9574-105X
SPIN-code: 4062-6409

MD, Dr. Sci. (Medicine)

Russian Federation, Saint Petersburg; Saint Petersburg

Konstantin N. Movchan

Medical Information and Analytical Center

Email: MovchanK@spbmiac.ru
ORCID iD: 0000-0002-9843-9868
SPIN-code: 5803-2682

MD, Dr. Sci. (Medicine)

Russian Federation, Saint Petersburg

Sergei V. Petrov

The City Hospital of the Holy Martyr Elizabeth (Elizabethan Hospital); North-Western State Medical University named after I.I. Mechnikov

Email: petrovsv@eliz-spb.ru
ORCID iD: 0009-0006-5578-3913
SPIN-code: 8151-2024

MD, Dr. Sci. (Medicine)

Russian Federation, Saint Petersburg; Saint Petersburg

Alexander M. Bakunov

The City Hospital of the Holy Martyr Elizabeth (Elizabethan Hospital)

Email: Sanka-86@bk.ru
ORCID iD: 0000-0003-3389-5026
SPIN-code: 7126-8331

MD

Russian Federation, Saint Petersburg

Tatyana M. Karaseva

North-Western State Medical University named after I.I. Mechnikov

Email: tatyana.chirkina@szgmu.ru
ORCID iD: 0000-0002-7708-7808
SPIN-code: 6903-1991

MD, Cand. Sci. (Medicine)

Russian Federation, Saint Petersburg

Daria S. Alekseeva

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: dddaaarrr21@gmail.com
ORCID iD: 0009-0002-3821-5683
SPIN-code: 7130-5152
Russian Federation, Saint Petersburg

Kamila T. Shikhalieva

North-Western State Medical University named after I.I. Mechnikov

Email: Shikhalievak14@mail.ru
ORCID iD: 0009-0004-0965-5561
Russian Federation, Saint Petersburg

Egor O. Stetsik

North-Western State Medical University named after I.I. Mechnikov

Email: egorst2564@mail.ru
ORCID iD: 0009-0001-5865-1629
SPIN-code: 4184-5903
Russian Federation, Saint Petersburg

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Supplementary files

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1. JATS XML
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2. Fig. 1. Cytological findings in the patients operated on for nodular transformation of the thyroid gland in 1997–2021

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3. Fig. 2. Distribution of the frequency of surgical thyroid diseases depending on the age of the patients operated on for nodular transformation of the thyroid gland in 1997–2021

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4. Fig. 3. The number of surgical interventions performed for thyroid pathology with various approaches in 1997–2021

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5. Fig. 4. The ratio of complications depending on the surgical access used in 1997–2021

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6. Fig. 5. The average time of stay of patients in the hospital, depending on a surgical access. TKA — traditional Kocher-Mikulich approach; AMA — asymmetric “floating” minimal approach

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