[Surgery for thyroid carcinoma in a patient on dialysis]

We report here our experience of surgery for thyroid carcinoma in a patient on dialysis. The patient was a 40-year-old woman. A thyroid gland mass was noted by cervical ultrasonography. The aspiration biopsy cytology was class IIIb, and we suspected papillary cancer. There was also cervical lymphadenopathy. Total thyroidectomy and cervical lymphdectomy (D2a) were performed. Because anticoagulant was used, Okicellcotton was placed into the neck. Dialysis was instituted on the day after operation, but there was no abnormality. Because anticoagulant was used, the patient could not be withdrawn from dialysis even if indicated for the operation. Although it was important to perform the perioperative operation carefully, we could perform surgery without complications such as the postoperative hemorrhage by precise hemostasis operation.