title: Total thyroidectomy for differentiated thyroid cancer: primary compared with completion thyroidectomy.
abstract: OBJECTIVE
  To analyse morbidity after completion total thyroidectomy compared with primary total thyroidectomy in a specialist thyroid surgery centre.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tertiary referral hospital, India.
  
  
  METHODS
  Medical records of 143 patients who had total thyroidectomy between January 1990 and December 1999. 95 had primary thyroidectomies and 48 were completion thyroidectomies.
  
  
  METHODS
  Complication rate in both groups.
  
  
  RESULTS
  The groups were comparable in respect of clinicopathological variables. Residual tumour was found in 19/48 (40%). After completion thyroidectomy, transient hypoparathyroidism and transient recurrent laryngeal nerve palsy were recorded in 8/48 (17%) and 2/48 (4%), respectively. No permanent hypoparathyroidism or permanent recurrent laryngeal nerve palsy was recorded in the completion thyroidectomy group.
  
  
  CONCLUSIONS
  Completion thyroidectomy can be done with acceptable morbidity in a specialist thyroid surgery centre. Fear of increased morbidity after the procedure should not deter surgeon from doing this operation or referring the patients to a specialist centre.
authors.affiliation: Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Mishra
authors.forename: Saroj Kanta
authors.initials: SK
authors.lastname: Mishra
mesh_terms: D000328:Adult; D002291:Carcinoma, Papillary / Q000601:surgery*; D004210:Dissection; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D018365:Neoplasm, Residual; D013964:Thyroid Neoplasms / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*