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Comparative Study
. 2003 Nov;29(9):747-9.
doi: 10.1016/j.ejso.2003.08.006.

Comparison of completion thyroidectomy and primary surgery for differentiated thyroid carcinoma

E Erdem  1 , M A Gülçelik, B Kuru, H Alagöl
Affiliations
Comparative Study

Comparison of completion thyroidectomy and primary surgery for differentiated thyroid carcinoma

E Erdem et al. Eur J Surg Oncol. 2003 Nov.

Abstract

Aim: The objective of this study is to analyze the complication rates after the completion thyroidectomy and compare them with primary total thyroidectomy.

Methods: The outcomes of patients with differentiated thyroid carcinoma who were operated over a period of eight years were evaluated. One hundred and forty-one patients underwent completion thyroidectomy and 92 patients had primary surgery.

Results: The two groups were comparable in respect of clinical variables. Residual tumor was found in 66 of 141 patients (46.8%) in completion thyroidectomy group. The rate of the two most important complications, permanent recurrent laryngeal nerve palsy and permanent hypoparathyroidism were 3.5 and 4.2%, in completion thyroidectomy group, and 3.3 and 4.3%, in primary total thyroidectomy group. The complication rates were not significantly different between groups.

Conclusion: In conclusion, completion thyroidectomy can be done safely in a specialized center with acceptable morbidity.

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