2017
DOI: 10.4236/jct.2017.85044
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Optimum Timing and Complication of Completion Thyroidectomy for Differentiated Thyroid Cancer

Abstract: Background: Despite improved preoperative diagnostics, incidental postoperative detection of differentiated thyroid cancer in the final histology is still common. In most of these cases, completion thyroidectomy is recommended by national and international guidelines, although secondary surgery is associated with an increased operative risk. The optimal timing of completion thyroidectomy is still controversial. Patients and Methods: The patients admitted to surgical oncology department, SECI, with diagnosis of… Show more

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Cited by 5 publications
(9 citation statements)
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“…Most common complications reported were transient hypocalcemia, persistent hypocalcemia, transient vocal cord paresis, persistent vocal cord paresis and transient hypoparathyroidism. In Most patients the histopathologic examination of the restricted thyroid gland, after the primary procedure showed papillary cancer (1,13,17,18). The heterogeneity in our meta-analysis was low (I 2 =0), indicating that the studies included in our systematic review and meta-analysis were statistically reliable.…”
Section: Discussionmentioning
confidence: 68%
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“…Most common complications reported were transient hypocalcemia, persistent hypocalcemia, transient vocal cord paresis, persistent vocal cord paresis and transient hypoparathyroidism. In Most patients the histopathologic examination of the restricted thyroid gland, after the primary procedure showed papillary cancer (1,13,17,18). The heterogeneity in our meta-analysis was low (I 2 =0), indicating that the studies included in our systematic review and meta-analysis were statistically reliable.…”
Section: Discussionmentioning
confidence: 68%
“…The included studies comparing complication rates between early and delayed completion thyroidectomy have shown mixed results. Some conclude that delayed completion thyroidectomy have lower rates of postoperative complications, including transient hypocalcemia, persistent hypocalcemia, transient vocal cord paresis, persistent vocal cord paresis and transient hypoparathyroidism, compared to early completion thyroidectomy (11,13,18,19), other studies suggest the Timing of completion thyroidectomy did not significantly affect the incidence of post-operative complication (1,13,19).…”
Section: Discussionmentioning
confidence: 99%
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“…Another retrospective study by Salem et al, 22 included 118 patients who were taken to completion thyroidectomy for differentiated thyroid cancer, who were divided into 3 groups according to the timing from the first surgery; one week to 3 months, 3 months–6 months and after 6 months from the initial surgery. The overall rates of transient and persistent postoperative hypocalcemia was 19.5% and 4.2%, respectively.…”
Section: Literature Reviewmentioning
confidence: 99%
“…Moreover, while Glockzin et al [17] concluded that the best time is within three days or after three months, K saoğlu et al [1] found no effect of timing on morbidity. On the contrary, a relatively recent study conducted in Egypt [18] concluded that the best timing is at least six months after the first surgery.…”
Section: Discussionmentioning
confidence: 93%