| Completion Thyroidectomy for Differentiated Thyroid Carcinoma |
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Myung Kwan Kim;Yun Bok Lee;Hyung Min Chin;Chung Soo Chun;Young Jin Suh;Jun Gi Kim;Woo Bae Park |
| 분화성 갑상선암의 완결 갑상선 절제술 |
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김명관;이윤복;진형민;진정수;서영진;김준기;박우배 |
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| Abstract |
Background: Completion thyroidectomy is defined as the surgical removal of the remnant thyroid tissue following procedures less than total or near-total thyroidectomy. Although some authors advocate subtotal thyroidectomy with lower complication rates, total or completion thyroidectomy have been defended by others because of the improved survival and lower morbidity that is comparable with subtotal thyroidectomy.
Objectives: The purpose of this paper is to review the necessity and safety of completion thyroidectomy for differentiated thyroid carcinoma(DTC).
Materials & Methods
During the past 10 years(1986 to 1996), authors have performed 211 total thyroidectomy. Ten of these patients were treated by completion thyroidectomy for DTC. Initial operation of 7 patients had been performed at St. Vincents Hospital and 3 patients at other hospital. The medical records of patients undergoing completion thyroidectomy were retrospectively reviewed.
Results
The completion thyroidectomy specimen contained residual tumor cells in 8 of the 8 patients with papillary carcinoma and none of the two patients with follicular carcinoma. Complications of completion thyroidectomy were transient hypoparathyroidism in two patients and transient unilateral recurrent laryngeal nerve palsy in one patient. But permanent complications were not noticed.
Conclusion
We recommend completion thyroidectomy as an efficient and safe method of surgical treatment with a low complication rate for DTC. |
| Key Words:
Completion thyroidectomy |
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