Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Journal of Medical Sciences, cilt.29, sa.5, ss.1212-1216, 2009 (SCI-Expanded)
Objective: In differentiated thyroid cancer, for patients who had undergone an operation other than total thyroidectomy, completion thyroidectomy is often advocated, with an outcome equivalent to that of total thyroidectomy. Morbidity of completion thyroidectomy is higher than that of primary surgery. Completion surgery was suggested to be undertaken either within 10 days of the primary operation or after 90 days to avoid adhesions and distorted anatomy. In this study, we aimed to evaluate the impact of the timing of completion thyroidectomy on morbidity of the operation. This study was designed as a retrospective review of a single institution experience. Material and Methods: From March 2000 to November 2006, 241 consecutive patients who underwent completion thyroidectomy for treatment of differentiated thyroid carcinoma were divided into two groups based on the time interval between the initial surgery and completion thyroidectomy. The rates of recurrent laryngeal nerve palsy and hypoparathyroidism were evaluated. Results: One hundred and twenty-eight patients underwent completion thyroidectomy 90 days after the initial operation (group I) and 113 patients had the second operation within 10-90 days of the initial operation (group II). Rate of transient hypoparathyroidism was 7.8% in group I and 8% in group II. Hypoparathyroidism was permanent in 1.6% of the patients in group I. No patients had permanent hypoparathyroidism in group II. Transient recurrent laryngeal nerve palsy occurred in 0.8% of the patients in group I and in 1.8% of those in group II. Permanent nerve palsy occurred in 0.8% of the patients in group I and in no patient in group II. There was no statistically significant difference between the two groups regarding the incidence of complications. Conclusion: Results of this study suggest that completion thyroidectomy for treatment of differentiated thyroid carcinoma can be performed anytime after the initial surgery and timing of the reoperation does not have an impact on morbidity of the operation. Copyright © 2009 by Türkiye Klinikleri.