Long-term Results of Observation vs Prophylactic Selective Level VI Neck Dissection for Papillary Thyroid Carcinoma at a Cancer Center

Abstract

Although the risk for occult lymph node metastasis reached 67.2% in a selected group of patients, elective central neck dissection for patients with PTC increased the risk for complications and did not contribute to a decrease in local recurrence rates.

Incidence of permanent hypocalcaemia after total thyroidectomy with or without central neck dissection for thyroid carcinoma: a nationwide claim study

“…Therefore, the 2015 American Thyroid Association (ATA) Management Guidelines recommend CND for T3 or T4 PTC, as it improves disease‐specific survival and reduces local recurrence . On the other hand, routine performance of CND in low‐risk PTC patients is not recommended because several studies show that CND is associated with higher rates of complications . However, the actual incidence of permanent hypocalcaemia after thyroidectomy is difficult to estimate due to its rarity.…”

Study of the Ultrasound Appearance of the Normal Parathyroid Using an Intraoperative Procedure

“…Identification of normal parathyroid glands is essential for their preservation during thyroidectomy in thyroid diseases to avoid the major complications of hypoparathyroidism . It is also critical in patients with minimally invasive parathyroid surgery and focused parathyroidectomy to replace the traditional 4‐gland parathyroid exploration.…”

The Role of Central Neck Lymph Node Dissection in the Management of Papillary Thyroid Cancer

“…CLND has several associated risks, including increased risk of hypoparathyroidism and recurrent laryngeal nerve injury over thyroidectomy alone (28). A meta-analysis of over 3,000 patients found that temporary hypocalcemia and temporary vocal cord paralysis were more common in patients undergoing CLND versus thyroidectomy alone but that there were no differences in permanent hypocalcemia or vocal cord injury (23).…”