Morbidity comparison of Primary and Completion Total thyroidectomy for differentiated thyroid cancer in relation to the extent of Redo surgery
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TL;DR: Analysis of data suggest that under uniform conditions of tumour stage, surgeon, demographics and T stage, there is no statistically significant difference in post-operative outcomes between primary or completion total thyroidectomy, however, less extensive surgery is associated with a better perioperative outcome.
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About: This article is published in International Journal of Surgery Open. The article was published on 01 Jan 2015. and is currently open access. The article focuses on the topics: Completion thyroidectomy & Perioperative.
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Citations
Utility of Intraoperative Frozen Section in Large Thyroid Nodules.
TL;DR: For patients with nodules >4 cm who are undergoing a diagnostic lobectomy, the routine use of iFS may result in decreased health care utilization and additional cost savings could be obtained if iFS is avoided among patients with follicular lesions.
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Reoperative Cervical Endocrine Surgery: Appropriate Valuation for the Time and Effort?
TL;DR: In this article, a retrospective analysis using the National Surgical Quality Improvement Program database was performed to identify patients who underwent primary and redo-thyroidectomy and parathyroidectomy.
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Initial versus Staged Thyroidectomy for Differentiated Thyroid Cancer: A Retrospective Multi-Dimensional Cohort Analysis of Effectiveness and Safety
Eman A. Toraih,Mohammad H. Hussein,Jessan A. Jishu,Michael S. Landau,Ahmed Hosni Abdelmaksoud,Yaser Y. Bashumeel,Mahmoud A. AbdAlnaeem,Rithvik Vutukuri,Christine Robbie,Chelsea Matzko,Joshua P. Linhuber,Mohamed Shama,Salem I. Noureldine,Emad Kandil +13 more
TL;DR: Total thyroidectomy has higher complication rates than staged completion thyroidectomy for differentiated thyroid cancer, primarily due to increased risk of hypocalcemia. Performing completion thyroidectomy within 1–6 months of the initial lobectomy may minimize permanent complications.
Economic Impact of Frozen Section for Thyroid Nodules with "Suspicious for Malignancy" Cytology.
Craig A. Bollig,David R. Gilley,David Lesko,Jeffrey B. Jorgensen,Tabitha L.I. Galloway,Robert P. Zitsch,Laura M. Dooley +6 more
TL;DR: Routine use of intraoperative frozen section among patients undergoing a thyroid lobectomy with “suspicious for malignancy” (SUSP) cytology in the context of the 2015 Thyroid Association guidelines would result in decreased health care utilization.
Association of tumor size and focality with recurrence/persistence in papillary thyroid cancer patients treated with total thyroidectomy along with radioactive-iodine ablation and TSH suppression
TL;DR: The analysis showed that tumor multifocality rather than size is the significant factor determining prognosis; hence, total thyroidectomy is indicated for an optimal assessment of true focality in micro-PTC.
References
Oncologic outcomes after completion thyroidectomy for patients with well-differentiated thyroid carcinoma.
Brian R. Untch,Frank L. Palmer,Ian Ganly,Snehal G. Patel,R. Michael Tuttle,Jatin P. Shah,A. Shaha +6 more
TL;DR: Completion thyroidectomy is infrequent and performed for a select group of intermediate and low risk WDTCs at the authors' institution with low recurrence rates.
Total thyroidectomy for benign thyroid disease.
TL;DR: Total thyroidectomy is the treatment of choice for multinodular goiter and thyroiditis, when there is bilateral gland involvement posterior to middle thyroid veins, and for Graves disease because it decreases the likelihood of future repeat operations for recurrent disease and thus the associated risks, when performed safely.
Reoperative surgery for thyroid disease
Jérémie H. Lefevre,Christophe Trésallet,Laurence Leenhardt,Christelle Jublanc,Jean-Paul Chigot,Fabrice Menegaux +5 more
TL;DR: Because reoperative thyroid surgery can lead to potential complications, especially permanent RLN palsy or hypoparathyroidism, it should be reserved for patients who need it.