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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

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The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
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Related Experiment Video

Updated: Mar 30, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Partial Thyroidectomy for Papillary Thyroid Microcarcinoma: Is Completion Total Thyroidectomy Indicated?

G Donatini1, M Castagnet2, T Desurmont2

  • 1Department of General and Endocrine Surgery, CHU Poitiers, 2 Rue de la Miletrie, 86021, Poitiers, France. giacko76@hotmail.com.

World Journal of Surgery
|November 8, 2015
PubMed
Summary
This summary is machine-generated.

Thyroid lobectomy is effective for papillary microcarcinoma, showing low recurrence and complication rates. Careful patient selection is key, as routine completion thyroidectomy is not always necessary for these small thyroid cancers.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thyroid Disease Management

Background:

  • Papillary thyroid cancer (PTC) management often involves total thyroidectomy.
  • Optimal surgical approach for papillary microcarcinoma remains debated, with both total thyroidectomy and lobectomy utilized.
  • This study reports institutional experience with thyroid microcarcinoma treatment.

Purpose of the Study:

  • To evaluate the efficacy and safety of lobectomy versus total thyroidectomy for papillary microcarcinoma.
  • To compare recurrence rates and complication profiles between the two surgical approaches.
  • To determine the necessity of routine completion thyroidectomy.

Main Methods:

  • Retrospective analysis of 880 patients undergoing thyroid surgery for PTC between 1991-2015.
  • Patients grouped into total thyroidectomy (Group 1, n=756) or lobectomy (Group 2, n=124).
  • Outcomes analyzed: recurrence, reoperation, transient vocal cord paralysis, and hypocalcemia.

Main Results:

  • Micro PTC (<10 mm) found in 251 (Group 1) and 69 (Group 2) specimens.
  • Recurrence rate for lobectomy (Group 2) was 7.3% (12/164), with 5 cases of contralateral papillary carcinoma.
  • Lobectomy group had significantly lower rates of transient hypoparathyroidism (0% vs. 18.6%, p < 0.0001) and similar transient nerve palsy rates compared to total thyroidectomy.

Conclusions:

  • Thyroid lobectomy is an effective surgical strategy for papillary microcarcinomas, associated with low complication rates.
  • Routine completion thyroidectomy is not mandatory for all patients.
  • Careful selection of high-risk patients is crucial for optimal outcomes in microcarcinoma management.