The article presents results of topographo-anatomical investigation of the asymmetric mini-access used in surgical treatment of the nodular goiter. It was established that the mini-access is rational, adequate and does not require special surgical instruments. The performance of hemithyroidectomy from the asymmetric mini-access used in 99 patients with nodular goiter had excellent cosmetic effect, early rehabilitation and low number of complications. Long-term results of treatment by the method of ethanol destruction were investigated in 50 patients. At the end of the observation the diameter of the nodes was found to increase as compared with the minimal indices.

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