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Total thyroidectomy for differentiated thyroid cancer: primary compared with completion thyroidectomy.

Anjali Mishra1, Saroj Kanta Mishra

  • 1Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

The European Journal of Surgery = Acta Chirurgica
|October 12, 2002
PubMed
Summary
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Completion thyroidectomy has acceptable morbidity in specialist centers. Surgeons should not fear performing this procedure or referring patients, as complication rates are comparable to primary total thyroidectomy.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Total thyroidectomy is a common procedure for thyroid disorders.
  • Completion thyroidectomy may be necessary for residual disease.
  • Assessing morbidity of completion thyroidectomy is crucial for patient management.

Purpose of the Study:

  • To compare the morbidity of completion total thyroidectomy versus primary total thyroidectomy.
  • To evaluate the safety and outcomes of completion thyroidectomy in a specialist setting.

Main Methods:

  • Retrospective study of 143 patients undergoing total thyroidectomy.
  • Comparison of complication rates between 48 completion thyroidectomies and 95 primary thyroidectomies.
  • Analysis of transient and permanent hypoparathyroidism and recurrent laryngeal nerve palsy.

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Main Results:

  • No significant difference in clinicopathological variables between groups.
  • Residual tumor found in 40% of completion thyroidectomy cases.
  • Transient hypoparathyroidism (17%) and transient recurrent laryngeal nerve palsy (4%) observed after completion thyroidectomy, with no permanent complications.

Conclusions:

  • Completion thyroidectomy can be performed with acceptable morbidity in specialist thyroid surgery centers.
  • Concerns about increased morbidity should not prevent surgeons from performing or referring for completion thyroidectomy.