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Mixed Reality Assisted Radical Endoscopic Thyroidectomy
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Completion thyroidectomy: A risky undertaking?

Kristina J Nicholson1, Cindy Y Teng1, Kelly L McCoy1

  • 1Division of Endocrine Surgery, Department of Surgery, University of Pittsburgh Medical Center, Kaufmann Building, Suite 101, 3471 Fifth Avenue, Pittsburgh, PA, 15213, United States.

American Journal of Surgery
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Summary
This summary is machine-generated.

Completion thyroidectomy (cT) after thyroid lobectomy (TL) has low complication rates, similar to total thyroidectomy (TT). This study found no significant difference in operative risks among TL, TT, and cT procedures at a high-volume center.

Keywords:
Completion thyroidectomyComplicationsThyroidectomy

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thyroid Surgery

Background:

  • Completion thyroidectomy (cT) is sometimes required after initial thyroid lobectomy (TL).
  • The operative risks associated with two-stage thyroidectomy remain a subject of debate.
  • This study aimed to compare complication rates across different thyroidectomy procedures.

Purpose of the Study:

  • To compare the complication rates of thyroid lobectomy (TL), total thyroidectomy (TT), and completion thyroidectomy (cT).
  • To evaluate the safety and operative risks of a two-stage thyroidectomy approach.

Main Methods:

  • A retrospective cohort study design was employed.
  • 100 consecutive cases each of TL, TT, and cT were reviewed.
  • Complications assessed included reoperation for hematoma, recurrent laryngeal nerve (RLN) dysfunction, and hypoparathyroidism.

Main Results:

  • No permanent hypoparathyroidism or RLN injury was observed in any group.
  • Transient RLN paresis occurred in 3% of TL, 2% of TT, and 0% of cT patients.
  • Transient hypoparathyroidism occurred in 3% after TT versus 0% after cT, with an overall higher complication rate for TT (7%) compared to TL (3%) and cT (0%).

Conclusions:

  • At a high-volume center, complication rates for TL, TT, and cT are equivalently low.
  • Completion thyroidectomy, when necessary, does not appear to add significant operative risk compared to primary total thyroidectomy.