الفهرس 
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Abstract
•The efficacy and safety of this procedure for patients with benign disease is still a matter of debate due to the possible detrimental complication of total thyroidectomy, such as permanent recurrent laryngeal nerve palsy and permanent hypoparathyroidism. On the other hand, a considerable number of patients undergoing function-preserving thyroidectomy will require reoperation for recurrent disease, and this completion thyroidectomy has been shown to carry a higher rate of complications compared to the primary procedure • .Patients and Methods: This study was conducted on 100 patients presented by thyroid swellings and admitted to Mansoura University Hospitals, Endocrine Surgery Unit over one year during the period between November 2017 and October 2018.All patients were submitted to careful history taking, clinical examination and radiological, laboratory investigations. • Inclusion criteria: Simple multi-nodular goiter -Toxic nodular goiter-Diffuse toxic goiter • Exclusion criteria: Malignant Thyroid Diseases.-Recurrent thyroid Diseases.-Patient(pregnant-unconscious -mental disorders-vocal cord problems) All patients were submitted to: Full medical history, General and local examination, Radiological, Laboratory, Cytological investigations, Investigations were done to all patients like: Thyroid function tests (Serum T3, T4 and TSH). CBC, INR, Liver function tests and Serum Creatinine to assess effect of disease on it & as pre-operative preparation , E.C.G , Neck U/S & Duplex: Special probe to give idea about the nodule, (solid, cystic, size, homogenous, heterogeneous, well defined, ill defined, vascularity, infiltration to surrounding structures and retrosternal extension), Preoperative F.N.A.C (cytological examination), Post-operative pathology.