A retrospective review of 64 total thyroidectomies performed at Memorial Sloan-Kettering Cancer Center was conducted. Only one patient had permanent hypocalcemia (1.6%) requiring calcium supplementation. Eight patients had a total of 11 complications, for a complication rate of 12.5%. These results are in sharp contrast to those published in 1972 from this institution, in which the permanent hypocalcemia rate was 29%. The reasons for this difference are discussed.
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References
1.
TollefsenHRShahJPHuvosAG. Papillary carcinoma of the thyroid. Am J Surg1972; 124: 468–72.
2.
TollefsenHRShahJPHuvosAG. Follicular carcinoma of the thyroid. Am J Surg1973; 126: 523–8.
3.
CrileG. A conservative approach in treatment of thyroid cancer. Postgrad Med1975; 57: 111–5.
4.
FarrarWBCoopermanMJamesAG. Surgical management of papillary and follicular carcinoma of the thyroid. Ann Surg1988; 192: 701–4.
5.
WaneboHJAndrewsWKaiserDL. Thyroid cancer: Some basic considerations. Am J Surg1981; 142: 474–9.
6.
BeckerWF. Pioneers in thyroid surgery. Ann Surg1977; 185: 493–504.
7.
van HeerdenJAGrohMAGrantCS. Early postoperative morbidity after surgical treatment of thyroid carcinoma. Surgery1987; 161: 224–7.
8.
WingertDJFriesenSRIllopoulosJIPierceGEThomasJHHermreckAS. Post-thyroidectomy hypocalcemia. Am J Surg1986; 152: 606–11.
9.
ThompsonNWOlsenWRHoffmanGL. The continuing development of the technique of thyroidectomy. Surgery1973; 73: 913–27.
10.
AtttieJNKhafifRA. Preservation of parathyroid glands during total thyroidectomy. Am J Surg1975; 130: 399–404.
11.
PerzikSL. The place of total thyroidectomy in the management of 909 patients with thyroid disease. Am J Surg1976; 132: 480–3.
12.
CrileGAntunezAREsselstynCBHawkWSkillemPG. The advantages of subtotal thyroidectomy and suppression of TSH in the primary treatment of papillary carcinoma of the thyroid. Cancer1985; 55: 2691–7.
13.
ClarkOH. Total thyroidectomy: The treatment of choice for patients with differentiated thyroid cancer. Ann Surg1982; 196: 361–70.
14.
MazzaferriELYoungRLOertelJEKemmererWTPageCP. Papillary thyroid carcinoma: The impact of therapy in 576 patients. Medicine1977; 56: 171–96.
15.
BeahrsOHVandertollDJ. Complications of secondary thyroidectomy. Surg Gynecol Obstet1963; 117: 535–9.
16.
MartenssonHTernisJ. Recurrent laryngeal nerve palsy in thyroid gland surgery related to operations and nerves at risk. Arch Surg1985; 120: 475–7.
17.
ClarkOHLevinKEGreenspanFS. Reoperative thyroid surgery. (in press).
18.
CadyBSedgwickCEMeissnerWABookwalterJRRomagosaVWerberJ. Changing clinical, pathologic, therapeutic, and survival patterns in differentiated thyroid carcinoma. Ann Surg1976; 184: 541–53.
