scholarly journals Completion Thyroidectomy

2021 ◽  
Vol 14 (2) ◽  
pp. 87-92
Author(s):  
Yongil Cheon ◽  
Sung-Chan Shin ◽  
Byung-Joo Lee
Keyword(s):  
Completion Thyroidectomy

Completion Thyroidectomy for Initially Misdiagnosed Thyroid Cancer

1990 ◽  
Vol 23 (3) ◽  
pp. 429-439 ◽  
Author(s):  
Louis-Joseph Auguste ◽  
Joseph N. Attie
Keyword(s):  
Thyroid Cancer ◽  
Completion Thyroidectomy

Outcome of Thyroid Surgeries at Patan Hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 11-14
Author(s):  
Deepak Yadav ◽  
Bhawana Dangol ◽  
Anita GC ◽  
Namita Shrestha ◽  
Ishwor Raj Devkota ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Central Compartment ◽  
Neck Surgery ◽  
Laryngeal Nerve ◽  
Completion Thyroidectomy ◽  
Lateral Neck ◽  
Lateral Neck Dissection

Objective: To assess the outcome of thyroid surgeries at Patan HospitalMaterials and Methods: It is a retrospective study of in-patient records of patients undergoing thyroid surgeries for various indications from April 2013 to January 2015 at Patan Hospital, Lalitpur.Results: During the period of 21 months, 75 patients underwent thyroid surgeries. Majority of patients underwent hemithyroidectomy (35) followed by total thyroidectomy (28), subtotal thyroidectomy (7) and completion thyroidectomy (5). Out of 28 patients undergoing total thyroidectomy (TT), 11 underwent central compartment clearance (CCC), 5 underwent CCC and lateral neck dissection. Among 5 patients undergoing completion thyroidectomy, CCC was performed in all cases and in one patient lateral neck dissection was also performed.  A total of 13 patients developed unilateral recurrent laryngeal nerve palsy (RLN), among them 5 had permanent palsy. Tracheostomy had to be done in immediate postoperative period for stridor following total thyroidectomy (TT) in one case. Temporary hypocalcaemia was observed in 10 (10/28) cases following TT, out of which 8 had undergone CCC. Permanent hypocalcaemia was observed in 7 (7/28) cases following TT out of which 3 had undergone CCC. Chylous leak occurred in one of the patient undergoing left level II-IV neck dissection which was managed conservatively. None of the patient had to be transfused postoperatively.Conclusion: Complications to thyroid surgery are not uncommon. Visualization of recurrent laryngeal nerve alone in our context is adequate in experienced hands. Identification of parathyroid during thyroidectomy is recommended to avoid hypocalcaemia. Meticulous dissection can reduce the complications.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015

scholarly journals Completion thyroidectomy: predicting bilateral disease

2015 ◽  
Vol 44 (1) ◽  
Author(s):  
Badr Ibrahim ◽  
Véronique-Isabelle Forest ◽  
Michael Hier ◽  
Alex M. Mlynarek ◽  
Derin Caglar ◽  
...  
Keyword(s):  
Completion Thyroidectomy ◽  
Bilateral Disease

scholarly journals Completion thyroidectomy of well-differentiated thyroid cancer — a prospective, miserandomised study

2013 ◽  
Vol 64 (5) ◽  
pp. 335-339 ◽  
Author(s):  
Monika Proczko ◽  
Tomasz Stefaniak ◽  
Krzysztof Sworczak ◽  
Jarosław Kobiela ◽  
Andrzej Jacek Łachiński ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Differentiated Thyroid Cancer ◽  
Completion Thyroidectomy ◽  
Well Differentiated

scholarly journals Variability in Thyroid Cancer Multidisciplinary Team Meeting Recommendations Is Not Explained by Standard Variables: Outcomes of a Single Centre Review

2021 ◽  
Vol 10 (18) ◽  
pp. 4150
Author(s):  
Mark E. Fenton ◽  
Sarah A. Wade ◽  
Bibi N. Pirrili ◽  
Zsolt J. Balogh ◽  
Christopher W. Rowe ◽  
...  
Keyword(s):  
Decision Making ◽  
Total Thyroidectomy ◽  
Multidisciplinary Team ◽  
Univariate Analysis ◽  
Decision Making Process ◽  
Completion Thyroidectomy ◽  
Measured Variable ◽  
T1 And T2 ◽  
The Difference ◽  
Therapeutic Decision Making

Multidisciplinary team (MDT) meetings are the mainstay of the decision-making process for patients presenting with complex clinical problems such as papillary thyroid carcinoma (PTC). Adherence to guidelines by MDTs has been extensively investigated; however, scarce evidence exists on MDT performance and variability where guidelines are less prescriptive. We evaluated the consistency of MDT management recommendations for T1 and T2 PTC patients and explored key variables that may influence therapeutic decision making. A retrospective review of the prospective database of all T1 and T2 PTC patients discussed by the MDT was conducted between January 2016 and May 2021. Univariate analysis (with Bonferroni correction significance calculated at p < 0.006) was performed to establish clinical variables linked to completion thyroidectomy and Radioactive iodine (RAI) recommendations. Of 468 patients presented at thyroid MDT, 144 pT1 PTC and 118 pT2 PTC met the selection criteria. Only 18% (n = 12) of pT1 PTC patients initially managed with hemithyroidectomy were recommended completion thyroidectomy. Mean tumour diameter was the only variable differing between groups (p = 0.003). pT2 patients were recommended completion thyroidectomy in 66% (n = 16) of instances. No measured variable explained the difference in recommendation. pT1 patients initially managed with total thyroidectomy were not recommended RAI in 71% (n = 55) of cases with T1a status (p = 0.001) and diameter (p = 0.001) as statistically different variables. For pT2 patients, 60% (n = 41) were recommended RAI post-total thyroidectomy, with no differences observed among groups. The majority of MDT recommendations were concordant for patients with similar measurable characteristics. Discordant recommendations for a small group of patients were not explained by measured variables and may have been accounted for by individual patient factors. Further research into the MDT decision-making process is warranted.

scholarly journals Post thyroidectomy skin sinus formation

2020 ◽  
Vol 6 (5) ◽  
pp. 178
Author(s):  
Yisihak Suga ◽  
Berhanetsehay Teklewold ◽  
Netsanet Mengesha ◽  
Melese Gebeyehu
Keyword(s):  
Lymph Node ◽  
Foreign Body ◽  
Needle Aspiration ◽  
Completion Thyroidectomy ◽  
Node Dissection ◽  
Papillary Cancer ◽  
Aspiration Cytology ◽  
Wound Site ◽  
Fine Needle ◽  
Needle Aspiration Cytology

<p>Thyroid surgery is frequently complicated by hematoma collection, nerve injury, hypothyroidism and rarely infections but persistent discharge from the gland is unusual. We report a case of persistent sinus discharge from the thyroid of the patient who underwent thyroidectomy 5 years back. The patient had persistent discharge from the wound site along with recurrent swelling all the years afterward. Fine needle aspiration cytology proved it was recurrent papillary cancer. Swab culture from discharge showed no growth. Completion thyroidectomy with functional lymph node dissection was done and specimen was not harbouring any foreign body and biopsy showed recurrent papillary cancer. Although post thyroidectomy sinus discharges are usually secondary to foreign body or chronic inflammation like tuberculosis, the tumour itself can be considered as a cause.</p>

Six-Year Experience of Outpatient Total and Completion Thyroidectomy at a Single Academic Institution

2017 ◽  
Vol 83 (4) ◽  
pp. 381-384 ◽  
Author(s):  
Ethan Frank ◽  
Joshua Park ◽  
Alfred Simental ◽  
Christopher Vuong ◽  
Steve Lee ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Vocal Fold ◽  
Calcium Supplementation ◽  
Vocal Fold Paralysis ◽  
Completion Thyroidectomy ◽  
Rates Of Return ◽  
Hematoma Formation ◽  
Significant Difference ◽  
Permanent Hypocalcemia ◽  
Inpatient Group

Outpatient thyroidectomy has become slowly accepted with various published reports predominantly examining partial or subtotal thyroidectomy. Concerns regarding the safety of outpatient total and completion thyroidectomy remain, especially with regard to vocal fold paralysis, hypocalcemia, and catastrophic hematoma. We aimed to evaluate the safety of outpatient thyroid surgery in a large cohort by retrospectively comparing outcomes in those who underwent outpatient (n = 251) versus inpatient (n = 291) completion or total thyroidectomy between February 2009 and February 2015. Outpatient completion and total thyroidectomy had lower rates of temporary hypocalcemia (6% vs 24.4%; P < 0.001) and no significant difference in rates of return to emergency department (1.2% vs 1.4%), hematoma formation (0.8% vs 0.7%), temporary (2% vs 4.1%) or permanent (0.4% vs 0.7%) vocal fold paralysis, or permanent hypocalcemia (0.4% vs 0%) compared with the inpatient group. Outpatients requiring calcium replacement had shorter duration of postoperative calcium supplementation (44.4 ± 59.3 days vs 63.3 ± 94.4 days; P < 0.001). Our data demonstrate similar safety in outpatient and inpatient total and completion thyroidectomy.

scholarly journals The incidence of bilateral well-differentiated thyroid cancer found at completion thyroidectomy

1992 ◽  
Vol 16 (4) ◽  
pp. 711-716 ◽  
Author(s):  
Janice L. Pasieka ◽  
Norman W. Thompson ◽  
Michael K. McLeod ◽  
Richard E. Burney ◽  
Mahender Macha
Keyword(s):  
Thyroid Cancer ◽  
Differentiated Thyroid Cancer ◽  
Completion Thyroidectomy ◽  
Well Differentiated

scholarly journals Thyroid Lobe Ablation with Radioactive Iodine as an Alternative to Completion Thyroidectomy After Hemithyroidectomy in Patients with Follicular Thyroid Carcinoma: Long-Term Follow-Up

Thyroid ◽  
2012 ◽  
Vol 22 (4) ◽  
pp. 369-376 ◽  
Author(s):  
Giuseppe Barbesino ◽  
Melanie Goldfarb ◽  
Sareh Parangi ◽  
Jingyun Yang ◽  
Douglas S. Ross ◽  
...  
Keyword(s):  
Thyroid Carcinoma ◽  
Radioactive Iodine ◽  
Follicular Thyroid Carcinoma ◽  
Completion Thyroidectomy ◽  
Thyroid Lobe ◽  
Long Term Follow Up

Comparison of Completion Thyroidectomy and Primary Total Surgery for Differentiated Thyroid Cancer: A Meta-Analysis

2015 ◽  
Vol 38 (10) ◽  
pp. 528-531 ◽  
Author(s):  
Yu-Jie Li ◽  
Yao-Zong Wang ◽  
Zhan-Bo Yi ◽  
Liang-Liang Chen ◽  
Xiao-Dong Zhou
Keyword(s):  
Thyroid Cancer ◽  
Differentiated Thyroid Cancer ◽  
Meta Analysis ◽  
Completion Thyroidectomy
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