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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

Cited 20 time in Web of Science Cited 22 time in Scopus
Authors

Ahn, Soon-Hyun; Kim, Won Sik

Issue Date
2020-05
Publisher
대한이비인후과학회
Citation
Clinical and Experimental Otorhinolaryngology, Vol.13 No.2, pp.194-202
Abstract
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.
ISSN
1976-8710
URI
https://hdl.handle.net/10371/177929
DOI
https://doi.org/10.21053/ceo.2019.01634
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