To compare the clinical value of Dunhill operation, total resection and subtotal resection for bilateral nodular goiter.

The data of 325 patients with bilateral nodular goiter admitted from January 2016 to June 2019 were retrospectively analyzed. According to the different surgical methods, the patients treated with total excision were included in the total excision group (102 cases), the patients treated with subtotal resection were included in the subtotal resection group (108 cases), and patients treated with Dunhill operation were included in the Dunhill group (115 cases). SPSS 25.0 software package was used for analyze. The measurement data such as surgery-related indicators were described as (±s), and compared by analysis of variance; frequency of clinical data such as clinical efficacy, complications, and recurrence (n) were described as the rate (%), and compared with χ² test, and P<0.05 was considered statistically significant.

There was no significant difference in the total effective rate of treatment and the recurrence rate at 6 months after operation among the three groups (P>0.05). Compared with the total resection group, the Dunhill group had longer operation time, more intraoperative blood loss, and shorter hospital stay. the total incidence of postoperative complications was higher in the Dunhill and subtotal group. Compared with the subtotal resection group, the operation time in the Dunhill group was shorter (P<0.05).

Compared with subtotal thyroidectomy and Dunhill operation, total thyroidectomy has the advantage of lower recurrence and lower postoperative complications, but has a greater influence on patients with thyroid function. The Dunhill technique can effectively balance the effectiveness and safety of treatment. In clinical work, it can be carefully selected in accordance with the needs of patients.