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Related Experiment Video

Updated: Jun 18, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma

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Central neck dissection for papillary thyroid cancer.

Michael A Rosenbaum1, Christopher R McHenry

  • 1Department of Surgery, MetroHealth Medical Center, Cleveland, OH 44109, USA.

Archives of Otolaryngology--Head & Neck Surgery
|November 18, 2009
PubMed
Summary

Central neck dissection (CND) for papillary thyroid cancer (PTC) rarely leads to recurrence but increases hypocalcemia risk. This study questions the routine use of CND in PTC management.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Papillary thyroid cancer (PTC) is the most common endocrine malignancy.
  • Central neck dissection (CND) is a surgical procedure to remove lymph nodes in the central neck region.
  • The role of CND in PTC management remains a subject of debate.

Purpose of the Study:

  • To evaluate the effectiveness and complications of central neck dissection (CND) in patients with papillary thyroid cancer (PTC).
  • To assess the impact of CND on recurrence rates and postoperative outcomes.

Main Methods:

  • Retrospective analysis of 110 patients with PTC who underwent surgical therapy between 1993 and 2008.
  • Comparison of outcomes between patients who underwent CND (n=22) and those who did not (n=88).

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Last Updated: Jun 18, 2026

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  • Key outcome measures included recurrence, hypocalcemia, hypoparathyroidism, and recurrent laryngeal nerve (RLN) injury.

    • Main Results:

    • Recurrence in the central neck was uncommon in patients who underwent total thyroidectomy and CND.
    • Transient hypocalcemia was significantly more frequent in patients who underwent CND (86%) compared to those who did not (61%).
    • Permanent hypoparathyroidism occurred in 5% of patients who underwent CND, and no permanent RLN injury was observed in this group.

    Conclusions:

    • While central neck dissection (CND) is associated with a low risk of central neck recurrence in papillary thyroid cancer (PTC) patients, it leads to a higher incidence of hypocalcemia.
    • The findings suggest a need to carefully consider the indications for routine CND in PTC management due to the increased risk of complications.