Completion thyroidectomy: A risky undertaking? - 26/09/19
, Cindy Y. Teng , Kelly L. McCoy , Sally E. Carty , Linwah Yip ⁎ Abstract |
Background |
Completion thyroidectomy (cT) is sometimes necessary after thyroid lobectomy (TL), and it remains controversial whether 2-stage thyroidectomy adds operative risk. This study compares complication rates for TL, total thyroidectomy (TT), and cT.
Methods |
Using a cohort design, we reviewed 100 consecutive cases each of TL, TT, and cT. Complications examined included reoperation for hematoma, temporary/permanent recurrent laryngeal nerve (RLN) dysfunction, and hypoparathyroidism.
Results |
Two patients had reoperation for hematoma, both in the TT cohort (p = 0.33). No patients in any cohort had permanent hypoparathyroidism or RLN injury, but transient RLN paresis occurred in three (3%) TL, two (2%) TT, and no (0%) cT patients (p = 0.38). Transient hypoparathyroidism occurred in 3% following TT versus 0% after cT (p = 0.12). Overall complication rate was higher after TT (7%) compared to TL (3%) and cT (0%, p = 0.02).
Conclusions |
At a high-volume center, the observed complication rates were equivalently low for TL, TT, and cT.
Summary |
Completion thyroidectomy is occasionally needed after lobectomy, but its procedure-specific risks are not well characterized. In a cohort study at a high-volume center, operative outcomes for patients undergoing thyroid lobectomy, total thyroidectomy, and completion thyroidectomy were compared and equivalently low complication rates were observed for all 3 procedures.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Anecdotally, two-stage thyroidectomy may have higher rates of complications. |
• | No complications were seen in 100 completion thyroidectomy patients. |
• | Two-stage thyroidectomy is a safe and reasonable alternative. |
Keywords : Thyroidectomy, Complications, Completion thyroidectomy
Plan
Vol 218 - N° 4
P. 695-699 - octobre 2019 Retour au numéro
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