[Surgical tactics and results of repeated operations in thyroid cancer]

The data on 53 cases of repeated surgical intervention for thyroid cancer were analysed. Among the factors necessitating reoperation were the ineffectiveness or insufficient extent of tumor removal, relapse or metastases. Repeated intervention met with additional difficulties and involved more surgical trauma and more frequent complications (28%), particularly, in cases of tumor recurrence. The data on the end results of treatment lasting 2-24 years were studied. Thirty two patients have survived until present time (60.4%). The highest mortality rates were registered in cases of anaplastic and advanced well-differentiated carcinomas.