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KMID : 1195620200130020194
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Clinical and Experimental Otorhinolaryngology
2020 Volume.13 No. 2 p.194 ~ p.202
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The Effect of Prophylactic Central Neck Dissection During Hemithyroidectomy on Locoregional Recurrence in Patients With Papillary Thyroid Carcinoma: A Meta-Analysis
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Ahn Soon-Hyun
Kim Won-Sik
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Abstract
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Objectives: Hemithyroidectomy is commonly performed in patients with low- to intermediate-risk papillary thyroid carcinoma. The purpose of this meta-analysis was to evaluate the effect of prophylactic central neck dissection on locoregional recurrence in patients undergoing hemithyroidectomy.
Methods: A meta-analysis was performed of full-text publications published in English retrieved from the Embase database.
Results: The rate of regional recurrence in the central compartment after hemithyroidectomy, with or without prophylactic central neck dissection, was 0.17% and 1.78%, respectively. This difference was statistically significant. Recurrence in the lateral compartment or contralateral thyroid was not affected by prophylactic central neck dissection; the overall rate of recurrence was 1.3% and 5.4%, respectively.
Conclusion: Prophylactic central neck dissection significantly reduced the risk of recurrence in the central compartment in patients undergoing hemithyroidectomy.
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KEYWORD
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Central Neck Dissection, Locoregional Recurrence, Papillary Thyroid Carcinoma, Thyroidectomy, Lymph Node
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FullTexts / Linksout information
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Listed journal information
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