Tiroidectomia totale versus emitiroidectomia: Approccio chirurgico al carcinoma papillare della tiroide T1-T2

Translated title of the contribution: Total thyroidectomy versus lobectomy: Surgical approach to T1-T2 papillary thyroid cancer

Luigi Di Filippo, Gioacchino Giugliano, Marta Tagliabue, Sara Gandini, Federica Sileo, Agnese Allora, Enrica Grosso, Michele Proh, Veronica Basso, Donatella Scaglione, Marco Federico Manzoni, Mohssen Ansarin

Research output: Contribution to journalArticlepeer-review

Abstract

The incidence of papillary thyroid carcinoma, which accounts for 80-90% of all thyroid cancers, has recently been increasing. The current study aimed to compare the oncological and functional outcomes of total thyroidectomy (TT) and thyroid lobectomy (TL). To this end, a retrospective single-centre cohort study involving a tertiary care institution was conducted. Data regarding demographics, clinicopathology and postoperative complications from 586 patients with papillary thyroid cancer treated in a single institution were collected. Cox proportional-hazards models were utilised to determine differences in outcomes stratified according to propensity score. Our data suggested no significant difference in the risk for locoregional recurrence or distant metastasis between TL and TT among patients with pT1-2 pN0 papillary carcinoma. TT plays an important role in improving prognosis among patients with metastatic lymph nodes in the central neck compartment (pN1a) (p = 0.001). Moreover, TT had significantly higher rates of postoperative hypocalcaemia and recurrent laryngeal nerve paralysis compared to TL (p < 0.001 and p = 0.02, respectively).

Translated title of the contributionTotal thyroidectomy versus lobectomy: Surgical approach to T1-T2 papillary thyroid cancer
Original languageItalian
Pages (from-to)254-261
Number of pages8
JournalActa Otorhinolaryngologica Italica
Volume40
Issue number4
DOIs
Publication statusPublished - Aug 2020

ASJC Scopus subject areas

  • Otorhinolaryngology

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