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Invited Commentaries

Invited Commentaries This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Drs Hines and Winchester are to be congratulated on the technical success achieved in this study. Only a few of their patients experienced temporary hypocalcemia and recurrent laryngeal nerve paresis, which I agree is generally of minor concern, and they did not incur either complication on a permanent basis. However, avoidance of these complications does not in itself signify that total thyroidectomy is superior to a more conservative procedure, such as near-total thyroidectomy (NTT), in the treatment of papillary thyroid cancer. The authors investigated two primary objectives: (1) the advisability of total lobectomy as the initial procedure for a suspicious thyroid nodule and (2) the advantage of total thyroidectomy for treatment of differentiated thyroid cancer. I agree entirely with their first conclusion, stressing as they did the risk of reoperation to complete resection of a lobe that had been only partially removed previously. I do not agree with the authors' http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Invited Commentaries

Archives of Surgery , Volume 128 (9) – Sep 1, 1993

Invited Commentaries

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Drs Hines and Winchester are to be congratulated on the technical success achieved in this study. Only a few of their patients experienced temporary hypocalcemia and recurrent laryngeal nerve paresis, which I agree is generally of minor concern, and they did not incur either complication on a permanent basis. However, avoidance of these complications...
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Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1993.01420210128020
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Drs Hines and Winchester are to be congratulated on the technical success achieved in this study. Only a few of their patients experienced temporary hypocalcemia and recurrent laryngeal nerve paresis, which I agree is generally of minor concern, and they did not incur either complication on a permanent basis. However, avoidance of these complications does not in itself signify that total thyroidectomy is superior to a more conservative procedure, such as near-total thyroidectomy (NTT), in the treatment of papillary thyroid cancer. The authors investigated two primary objectives: (1) the advisability of total lobectomy as the initial procedure for a suspicious thyroid nodule and (2) the advantage of total thyroidectomy for treatment of differentiated thyroid cancer. I agree entirely with their first conclusion, stressing as they did the risk of reoperation to complete resection of a lobe that had been only partially removed previously. I do not agree with the authors'

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1993

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