Evaluation of Total Thyroidectomy with Prophylactic Central Neck Dissection as an Alternative to Total Thyroidectomy Alone in Clinically Node-Negative Papillary Thyroid Carcinoma | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 2, April 2025, Pages 79-87 PDF (574.83 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.349526.1176 | ||
| Authors | ||
| Yasmine Hany Abdel Moamen El Zohery* ; Dina Mohamed Hanafy; Ahmed Saeed Saad | ||
| Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Background: PTC is the most popular form of differentiated thyroid carcinoma. Total thyroidectomy is the preferred procedure for all PTC. In spite of CND is performed for clinically nodal-positive patients, it still controversial in cases with clinically negative nodes. Aim of work: The purpose of this study is to compare the incidence of recurrence and complications of TT only with TT plus pCND in patients with clinically negative L.N and PTC. Patients and methods: This retrospective study was conducted in the General Surgery Department at Ain Shams University Hospitals. The study involved 40 diagnosed cases of PTC with clinically node-negative disease, all of which were operated on between January 2021 and January 2023. Results: The incidence of complications was similar in both groups. The rate of temporary recurrent laryngeal nerve injury was 5% in both groups. The rate of transient hypocalcemia was 5% in the TT only group and 10% in the TT with pCND group. Additionally, the rate of permanent hypocalcemia was 0% in the TT only group, while it was 5% in the TT with pCND group. pCND does not significantly reduce the local recurrence risk in cases of PTC. Conclusion: Total thyroidectomy with pCND in clinically node-negative disease was not associated with increase in postoperative complications, in spite of having a longer operation time compared to total thyroidectomy without pCND. However, 40% of cases who performed total thyroidectomy with pCND were found to have lymph node metastasis. | ||
| Keywords | ||
| pCND; Total Thyroidectomy; PTC; L.N Metastasis | ||
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