Table 5.
Comparison of outcomes of total thyroidectomy with or without central lymph node dissection.
| Study | RLN Injury (%) | Hypocalcemia (%) | Recurrence (%) | ||
|---|---|---|---|---|---|
| Temporary | Permanent | Temporary | Permanent | ||
| Shen et al. [15] | TT: 3.7 | TT: 1.0 | TT: 11.0 | TT: 0 | TT: 21.8 |
| (N = 301) | TT + CND: 1.8 | TT + CND: 1.8 | TT + CND: 38.2 | TT + CND: 0 | TT + CND: 5.7 |
|
| |||||
| Moo et al. [16] | TT: 0 | TT: 0 | TT: 5.6 | TT: 5.5 | TT: 16.7 |
| (N = 81) | TT + CND: 4.4 | TT + CND: 0 | TT + CND: 31.1 | TT + CND: 0 | TT + CND: 4.4 |
|
| |||||
| Rosenbaum McHenry [17] | TT: 2.3 | TT: 1.1 | TT: 57.9 | TT: 0 | TT: 4.5 |
| (N = 110) | TT + CND: 9.1 | TT + CND: 0 | TT + CND: 86.4 | TT + CND: 4.5 | TT + CND: 2.3 |
|
| |||||
| Perrino et al. [18] | TT: 3.1 | TT: 2.5 | TT: 6.9 | TT: 3.8 | TT: 13.8 |
| (N = 251) | TT + CND: 2.2 | TT + CND: 1.1 | TT + CND: 8.7 | TT + CND: 1.1 | TT + CND: 5.4 |
|
| |||||
| Sywak et al. [19] | TT: 1.0 | TT: 1.0 | TT: 8.2 | TT: 0.5 | TT: 5.6 |
| (N = 447) | TT + CND: 1.8 | TT + CND: 0 | TT + CND: 17.8 | TT + CND: 1.8 | TT + CND: 3.6 |
TT: total thyroidectomy alone, TT + CND: total thyroidectomy with central lymph node dissection.