Complications of Neck Dissections in Papillary Thyroid Carcinoma: A Modified Procedure to Reduce Parathyroid Morbidity

Guglielmo Ardito, Luca Revelli, Andrea Polistena, Roberta Lucchini, Erica Giustozzi, Maria Lavinia Guidi, Francesco Ardito, Nicola Avenia

Risultato della ricerca: Contributo in rivistaArticolo in rivista


Background/Aim: Hypoparathyroidism is the most significant morbidity after neck dissection for thyroid cancer. Addition of lateral neck dissection (ND) to central ND combined with total thyroidectomy (TT) increases the risk of postoperative hypoparathyroidism compared to TT plus central ND. The aim of this study was to verify if a modified procedure and different access to the neck for lateral ND may improve safety. Patients and Methods: In 62 patients with papillary thyroid cancer (PTC) undergoing TT plus central and lateral ND between 2010 and 2013, lateral ND was performed as first step approaching the neck via extrathyroideal space. Calcium in serum and parathormone (PTH) were determined preoperatively, intraoperatively and during the follow-up. Results: Twenty patients (32%) developed postoperative hypocalcemia. Calcium levels and PTH completely recovered for 58 out of 62 patients from 3 to 6 months after surgery. After a mean of 12 months' follow-up, only four patients (6.5%) had developed permanent hypoparathyroidism. The incidence of parathyroid complication after TT plus central ND and lateral ND did not differ from postoperative hypoparathyroidim after TT plus central ND. Conclusion: The presented surgical procedure may provide a better outcome in terms of parathyroid morbidity.
Lingua originaleEnglish
pagine (da-a)303-308
Numero di pagine6
RivistaIn Vivo
Stato di pubblicazionePubblicato - 2016


  • Neck dissection
  • complication
  • hypoparathyroidism
  • surgery


Entra nei temi di ricerca di 'Complications of Neck Dissections in Papillary Thyroid Carcinoma: A Modified Procedure to Reduce Parathyroid Morbidity'. Insieme formano una fingerprint unica.

Cita questo