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Comparison of completion thyroidectomy and primary surgery for differentiated thyroid carcinoma
E Erdem1, M A Gülçelik, B Kuru
1Department of General Surgery, Ankara Oncology Education and Research Hospital, Kizilay, Ankara 06420, Turkey erhanerdem@ttnet.net.tr
Aim:
The objective of this study is to analyze the complication rates after the completion thyroidectomy and compare them with primary total thyroidectomy.
Methods:
The outcomes of patients with differentiated thyroid carcinoma who were operated over a period of eight years were evaluated. One hundred and forty-one patients underwent completion thyroidectomy and 92 patients had primary surgery.
Results:
The two groups were comparable in respect of clinical variables. Residual tumor was found in 66 of 141 patients (46.8%) in completion thyroidectomy group. The rate of the two most important complications, permanent recurrent laryngeal nerve palsy and permanent hypoparathyroidism were 3.5 and 4.2%, in completion thyroidectomy group, and 3.3 and 4.3%, in primary total thyroidectomy group. The complication rates were not significantly different between groups.
Conclusion:
In conclusion, completion thyroidectomy can be done safely in a specialized center with acceptable morbidity.