Table 2. Summary of the main advantages and disadvantages of partial thyroidectomy in comparison to total thyroidectomy.
Advantages of lobectomy versus total thyroidectomy | Disadvantages of lobectomy versus total thyroidectomy |
---|---|
Lower surgical risks | Risk of completion surgery to improve prognosis and/or administer radioactive iodine |
Thyroid hormone supplementation may not be necessary | Patients may still require thyroid hormone supplementation (thyroiditis or little remaining parenchyma) |
Comparable survival | No evidence of quality of life improvement |
Completion surgery, if necessary, does not increase surgical risk neither modify outcome | Not adequate for intermediate- and high-risk patients |
Thyroglobulin may not be appropriate for follow-up |
Modified from: Hartl DM, Guerlain J, Breuskin I, Hadoux J, Baudin E, Al Ghuzlan A, Terroir-Cassou-Mounat M, Lamartina L, Leboulleux S. Thyroid Lobectomy for Low to Intermediate Risk Differentiated Thyroid Cancer. Cancers (Basel). 2020 Nov 6;12(11):3282.