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Risk of Complications in Patients Undergoing Completion Thyroidectomy after Hemithyroidectomy for Thyroid Nodule with Indeterminate Cytology: An Italian Multicentre Retrospective Study

Title: Risk of Complications in Patients Undergoing Completion Thyroidectomy after Hemithyroidectomy for Thyroid Nodule with Indeterminate Cytology: An Italian Multicentre Retrospective Study
Authors: Canu G. L.; Medas F.; Cappellacci F.; Giordano A. B. F.; Gurrado A.; Gambardella C.; Docimo G.; Feroci F.; Conzo G.; Testini M.; Calo P. G.
Contributors: Canu, G. L.; Medas, F.; Cappellacci, F.; Giordano, A. B. F.; Gurrado, A.; Gambardella, C.; Docimo, G.; Feroci, F.; Conzo, G.; Testini, M.; Calo, P. G.
Publication Year: 2022
Collection: Università degli Studi di Cagliari: UNICA IRIS
Subject Terms: indeterminate thyroid nodule; differentiated thyroid carcinoma; total thyroidectomy; hemithyroidectomy; completion thyroidectomy; complications
Description: There is still controversy as to whether patients undergoing a completion thyroidectomy after a hemithyroidectomy for a thyroid nodule with an indeterminate cytology have a comparable, increased or decreased risk of complications compared to those submitted to primary thyroid surgery. The main aim of this study was to investigate this topic. Patients undergoing a thyroidectomy for thyroid nodular disease with an indeterminate cytology in four high-volume thyroid surgery centres in Italy, between January 2017 and December 2020, were retrospectively analysed. Based on the surgical procedure performed, four groups were identified: the TT Group (total thyroidectomy), HT Group (hemithyroidectomy), CT Group (completion thyroidectomy) and HT + CT Group (hemithyroidectomy with subsequent completion thyroidectomy). A total of 751 patients were included. As for the initial surgery, 506 (67.38%) patients underwent a total thyroidectomy and 245 (32.62%) a hemithyroidectomy. Among all patients submitted to a hemithyroidectomy, 66 (26.94%) were subsequently submitted to a completion thyroidectomy. No statistically significant difference was found in terms of complications comparing both the TT Group with the HT + CT Group and the HT Group with the CT Group. The risk of complications in patients undergoing a completion thyroidectomy after a hemithyroidectomy for a thyroid nodule with an indeterminate cytology was comparable to that of patients submitted to primary thyroid surgery (both a total thyroidectomy and hemithyroidectomy).
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/35626075; info:eu-repo/semantics/altIdentifier/wos/WOS:000803565600001; volume:14; issue:10; firstpage:1; lastpage:11; numberofpages:11; journal:CANCERS; https://hdl.handle.net/11584/341316
DOI: 10.3390/cancers14102472
Availability: https://hdl.handle.net/11584/341316; https://doi.org/10.3390/cancers14102472
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.F55D6680
Database: BASE