الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
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Abstract
Despite improved preoperative diagnostics, incidental postoperative detection of differentiated thyroid cancer in the final histology is still common. In most of these cases, completion thyroidectomy is recommended by national and international guidelines, although secondary surgery is associated with an increased operative risk. The optimal timing of completion thyroidectomy is still controversial.
This is a prospective comparative study to review the impact of the timing of completion thyroidectomy on the complication rates following operation in pateints with differentiated thyroid cancer. This study conducted on patients with differentiated thyroid cancer in the final histology. This study was conducted at endocrine surgery unit at Ain Shams University Hospitals starting from January 2021 to July 2022. Approval of the Ethical Committee and written informed consent from all participants were obtained.
In our study, there was no statistically significant difference in the incidence of vocal cord palsy in cases with and without dysphagia or tracheal compression. Similarly, there was no statistically significant difference in the incidence of postoperative hypocalcemia and post operative adhesions.
CONCLUSION
A completion thyroidectomy is today an option that allow the surgeon to remove the remaining thyroid tissue later in order to ensure that entire gland is removed. In benign conditions there might be no rush for completion thyroidectomy. Nonetheless, for those with DTC in whom the administration of radioactive iodine is indicated, the timing of the procedure surely should be taken into account.
This study concludes that completion thyroidectomy can be performed safely without any influence of timing between the first and the second procedure, provided the operative technique s executed well.