1998
DOI: 10.1016/s0748-7983(98)80007-3
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Total thyroidectomy for differentiated thyroid carcinoma: primary and secondary operations

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Cited by 17 publications
(15 citation statements)
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“…Additionally, complete surgery improves the patient outcome and makes follow-up with serum Tg and RAI scanning more reliable [6,7]. In previous studies, the rate of tumor detection in residual tissue after completion thyroidectomy has been reported between 20-77% [8][9][10][11][12]. In the present study, 22.4% of the patients had tumor in the residual tissue.…”
Section: Methodssupporting
confidence: 58%
“…Additionally, complete surgery improves the patient outcome and makes follow-up with serum Tg and RAI scanning more reliable [6,7]. In previous studies, the rate of tumor detection in residual tissue after completion thyroidectomy has been reported between 20-77% [8][9][10][11][12]. In the present study, 22.4% of the patients had tumor in the residual tissue.…”
Section: Methodssupporting
confidence: 58%
“…In many studies (Bergamaschi et al, 1998;Erolu et al, 1998;Pappalardo et al, 1998;Bron and O′Brien, 2004;Rosato et al, 2004;Zambudio et al, 2004;Ozbas et al, 2005), although parathyroid hormone levels were not assessed, hypoparathyroidism was accepted as the cause of hypocalcaemia. Hypoparathyroidism constituted the majority of the complications after total thyroidectomy in most series (Erolu et al, 1998;Pappalardo et al, 1998;Rosato et al, 2004;Zambudio et al, 2004;Ozbas et al, 2005). The incidence of hypoparathyroidism varied in different series with the dominance of temporary nature (Bergamaschi et al, 1998;Rosato et al, 2004;Zambudio et al, 2004;Ozbas et al, 2005).…”
Section: Discussionmentioning
confidence: 99%
“…Total thyroidectomy or thyroid lobectomy has been accepted as current surgical therapy for benign and malignant thyroidal disorders (Erolu et al, 1998;Sturniolo et al, 1999;Dener, 2002;Bron and O′Brien, 2004;Rosato et al, 2004), but extensive resection might increase the risk of postoperative complications (Wagner and Seiler, 1994;Thomusch et al, 2003). Recurrent laryngeal nerve (RLN) dysfunction and hypoparathyroidism are well-recognized important complications of thyroid surgery (McHenry, 2002).…”
Section: Introductionmentioning
confidence: 99%
“…After partial ablation of a cancerous gland many surgeons recommend completion thyroidectomy because, be- (3) 1 (2) The two groups did not differ signi cantly. Table IV 0 2 3 1 2 0 Temporary hypoparathyroidis m 3 7 6 0 8 17 Permanent recurrent laryngeal nerve palsy 0 2 3 0 0 0 Temporary recurrent laryngeal nerve palsy 2 2 8 3 5 4 sides dealing with residual tumour in the opposite lobe, which is reported in 23%-54% of cases, it allows the subsequent recognition and treatment of metastatic disease and offers young patients a potentially normal lifespan (6,8,14,15,17). However, the permanent complication rate is higher after reoperations on the thyroid than after primary operations and one of arguments for doing a total thyroidectomy as the primary operation is to avoid reoperations (7,11,(17)(18)(19).…”
Section: Discussionmentioning
confidence: 99%
“…Some think that when done early, it may result in signi cantly fewer recurrences in lymph nodes and elsewhere and that it improves survival (10). However, the morbidity after completion thyroidectomy is reported to be many times more than the primary procedure (11,18), only a few studies reporting comparable morbidity for these two procedures (8). As a protocol at our centre, we recommend patients for completion thyroidectomy if they are referred to us after subtotal thyroidectomy or the diagnosis of thyroid cancer is con rmed after hemithyroidectomy.…”
Section: Introductionmentioning
confidence: 99%