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Completion thyroidectomy: is timing important for transcervical and remote access approaches?

Juan Pablo Dueñas1, Carlos Simón Duque2, Laura Cristancho3

  • 1Hospital Pablo Tobón Uribe, Instituto de Cancerología IDC Las Américas, Clínica Universitaria Bolivariana, Clínica el Rosario Sede el Tesoro (CLID), Medellín, Colombia.

World Journal of Otorhinolaryngology - Head and Neck Surgery
|October 19, 2020
PubMed
Summary

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North American Society for Interventional Thyroidology (NASIT) Statement on Directed Ablative Therapy for the Management of Cervical Recurrence of Papillary Thyroid Cancer.

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Completion thyroidectomy (CT) is a secondary surgery after initial lobectomy for well-differentiated thyroid carcinoma (DTC). It is also performed due to complications like nerve injury or surgeon expertise limitations.

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Completion thyroidectomy (CT) is a surgical procedure.
  • It is often performed after an initial thyroid lobectomy.

Purpose of the Study:

  • To outline the indications for completion thyroidectomy.
  • To discuss its role in managing differentiated thyroid carcinoma and surgical complications.

Main Methods:

  • Review of indications for completion thyroidectomy.
  • Analysis of its application in specific thyroid cancer and surgical scenarios.

Main Results:

  • CT is indicated post-lobectomy for histopathological confirmation of well-differentiated thyroid carcinoma (DTC).
Keywords:
Completion thyroidectomyComplicationsNerve monitoringTotal thyroidectomy

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  • CT serves as a secondary procedure to address complications such as recurrent laryngeal nerve injury or surgeon inexperience.
  • Conclusions:

    • Completion thyroidectomy is a crucial secondary procedure in thyroid cancer management.
    • It addresses both oncological needs and complications arising from initial thyroid surgery.