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Related Experiment Video

Updated: Jan 27, 2026

Mixed Reality Assisted Radical Endoscopic Thyroidectomy
08:06

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Published on: January 31, 2025

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The impact of completion thyroidectomy.

R Sawant1, K Hulse1, S Sohrabi1

  • 1Department of Otolaryngology, Head and Neck Surgery, NHS Lothian, Edinburgh, UK.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|March 27, 2019
PubMed
Summary
This summary is machine-generated.

Completion thyroidectomy (CT) after thyroid lobectomy (TL) has a 14% complication rate, including haematoma and nerve palsy. Patients should only undergo CT if the benefits of adjuvant radioactive iodine outweigh the surgical risks and inconvenience.

Keywords:
Completion thyroidectomyComplicationsHypocalcaemiaOncological benefits

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thyroid Cancer Management

Background:

  • Completion thyroidectomy (CT) following thyroid lobectomy (TL) is often presumed to offer oncological benefits comparable to upfront total thyroidectomy (TT).
  • However, CT introduces additional surgical risks and patient inconvenience not present with primary TT.
  • The impact of CT on patient outcomes, specifically hospital stay duration and complication rates, requires thorough assessment.

Purpose of the Study:

  • To evaluate the impact of completion thyroidectomy (CT) on hospital admission duration.
  • To assess the complication rates associated with completion thyroidectomy (CT) in patients with differentiated thyroid cancer (DTC).

Main Methods:

  • A retrospective analysis of consecutive patients diagnosed with differentiated thyroid cancer (DTC) between 2009 and 2015.
  • Data were extracted from prospective multidisciplinary team (MDT) records and electronic medical records in South-East Scotland.
  • Surgical outcomes, including postoperative stay and complications, were analyzed for patients who underwent CT.

Main Results:

  • Of 361 DTC patients, 161 (45%) underwent CT.
  • The median postoperative hospital stay for CT was 1 day (range 1-5 days).
  • A total of 22 patients (14%) experienced complications, including postoperative haematoma (3%), permanent nerve palsy (1%), and wound complications (2%). 8% required prolonged calcium supplementation.

Conclusions:

  • Completion thyroidectomy (CT) is frequently performed in differentiated thyroid cancer (DTC) management.
  • Current guidelines recommending CT based on upfront total thyroidectomy (TT) criteria may overlook the added patient burden.
  • Given the significant complication rate, CT should be reserved for patients with a clear indication for adjuvant radioactive iodine therapy.