Comparative Study Between Backdoor and Conventional Thyroidectomy in Non-Recurrent Goiter

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.

https://doi.org/10.21608/aimj.2025.446561

Abstract

 
Background: The methodology of thyroidectomy has progressed during the past two hundred years. The preliminary contributions were made by Kocher. In the subsequent years, the technique has proven to be safe and associated with fewer complications.
Aim: To compare conventional and backdoor thyroidectomy in non-recurrent goiter according to time of hospitalization and complications following surgery and early recovery.
Patients and methods: This prospective randomized controlled research has been performed on forty cases with benign goiter who underwent thyroidectomy at the General Surgery Department, ALAZHER UNIVERSITY HOSPITALS between September 2023 and September 2024. The sample size was twenty cases in every group. Group A had a conventional thyroidectomy, and group B had a backdoor thyroidectomy.
Results: The backdoor technique exhibited a significantly extended operation duration vs. the standard method (p-value below 0.001). A statistically insignificant distinction was seen among both groups concerning hospitalization, loss of blood, and monitoring duration (p-value above 0.05). Group A exhibited a statistically significant rise in pain score compared to group B (p-value below 0.001).
Conclusion: The backdoor thyroidectomy approach, although requiring longer operative times, demonstrated several advantages over the conventional approach. It was associated with significantly lower postoperative pain scores, better visualization of the superior laryngeal nerve, and a reduced incidence of swallowing difficulties.
 

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