The Effect of Prophylactic Central Neck Dissection During Hemithyroidectomy on Locoregional Recurrence in Patients With Papillary Thyroid Carcinoma: A Meta-Analysis

Soon-Hyun Ahn, Won Sik Kim
2020 Clinical and Experimental Otorhinolaryngology  
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. A meta-analysis was performed of full-text publications published in English retrieved from the Embase database. The rate of regional recurrence in the central compartment after hemithyroidectomy, with or without
more » ... ith 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. Prophylactic central neck dissection significantly reduced the risk of recurrence in the central compartment in patients undergoing hemithyroidectomy.
doi:10.21053/ceo.2019.01564 pmid:32204579 fatcat:kco4v24kpvdqpdnqjlmrp5bpja