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Clive S. Grant, MD

Arch Surg. 1993;128(9):1064.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Drs Hines and Winchester are to be congratulated on the technical success achieved in this study. Only a few of their patients experienced temporary hypocalcemia and recurrent laryngeal nerve paresis, which I agree is generally of minor concern, and they did not incur either complication on a permanent basis. However, avoidance of these complications does not in itself signify that total thyroidectomy is superior to a more conservative procedure, such as near-total thyroidectomy (NTT), in the treatment of papillary thyroid cancer.

The authors investigated two primary objectives: (1) the advisability of total lobectomy as the initial procedure for a suspicious thyroid nodule and (2) the advantage of total thyroidectomy for treatment of differentiated thyroid cancer. I agree entirely with their first conclusion, stressing as they did the risk of reoperation to complete resection of a lobe that had been only partially removed previously.

I do not agree with the authors' . . . [Full Text PDF of this Article]

Author Affiliations
Rochester, Minn

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