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Completion thyroidectomy for thyroid carcinoma

✍ Scribed by Rao, Raja S. ;Fakih, Abdul R. ;Mehta, Ashok R. ;Agarwal, Rajeev ;Raghavan, A. ;Shrikhande, Sumati S.

Publisher
Wiley (John Wiley & Sons)
Year
1987
Weight
252 KB
Volume
9
Category
Article
ISSN
0148-6403

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✦ Synopsis

We have reviewed the charts of 149 patients who underwent completion thyroidectomies for cancer of the thyroid. The purpose of the study was to evaluate extent of residual disease in the thyroid, and morbidity and mortality of the operation. Residual cancer was found in 58% of the cases, the morbidity was low, and there was no operative mortality. HEAD 81 NECK SURGERY 9~284-286, 1987.

T h e treatment of well-differentiated carcinoma of the thyroid is controversial. Opinion differs on the extent of surgery one should perform for these cases. Some advocate a total thyroidectomy, while others opt for a lobectomy on the affected side. We advocate a total thyroidectomy, and if a patient is referred to us after a partial or hemithyroidectomy, we undertake a revision thyroidectomy to complete the operation. This study was undertaken to determine (1) the incidence of microscopic foci of disease in the contralateral lobe, and (2) degree of increased morbidity with revision thyroidectomy .

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Completion thyroidectomy is defined as the surgical removal of the remnant thyroid tissue following procedures less than total or near-total thyroidectomy . The extent of surgical management for differentiated thyroid carcinoma (DTC) is controversial. Although some authors advocate subtotal thyroide

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## Abstract ## Background Subtotal thyroidectomy for benign thyroid disease (BTD) may lead to delayed recurrence, thus necessitating reoperative surgery. We describe our experience with reoperative thyroidectomy for BTD and recommendations for definitive primary management. ## Methods Patients u