{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T20:50:52Z","timestamp":1774644652928,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The outcomes of completion thyroidectomy are not well\u2010documented. The study aim is to compare the risks of total thyroidectomy (TT), thyroid lobectomy (TL), and completion thyroidectomy (CT) using a large multi\u2010institutional database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All cases of thyroidectomy without lymphadenectomy were identified using the CESQIP national database (2013\u20132023). Completion thyroidectomy was defined as contralateral lobectomy following previous lobectomy. Outcomes were examined including hematoma requiring evacuation, vocal cord dysfunction on post\u2010op laryngoscopy, and clinical concern for hypoparathyroidism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 33,154 cases, TT, TL, and CT were performed in 19,057 (57%), 13,135 (40%) and 962 (3%), respectively. 30\u2010day hematoma rates were overall low: 135 (0.8%) in TT, 57 (0.5%) in TL, and &lt; 10 (0.7%) in CT (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). 30\u2010day vocal cord dysfunction was documented in 233 (1.4%), 159 (1.3%), and &lt; 10 (1.0%) for TT, TL, and CT, respectively (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.65). Temporary hypoparathyroidism was more common after TT than CT (989 (6%) versus 20 (2%), <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01). Among 16,311 (49%) patients with reported long\u2010term outcomes, there were no differences in the rates of vocal cord dysfunction by type of operation (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.34). However, long\u2010term hypoparathyroidism was more likely after TT than CT (237 (2.5%) versus &lt; 10 (0.7%), <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this multi\u2010institutional endocrine surgery database, the reported long\u2010term complication rates after completion thyroidectomy were the same as for first\u2010time thyroid lobectomy. However, clinical hypoparathyroidism was 2.5\u2010fold more likely for total thyroidectomy than for completion thyroidectomy at 30\u2010days and remained 3.7\u2010fold higher in the long term suggesting that completion thyroidectomy does not pose a higher risk of complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12546","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:40:02Z","timestamp":1741912802000},"page":"1034-1039","source":"Crossref","is-referenced-by-count":4,"title":["Does Completion Thyroid Surgery Pose a Higher Risk of Complications?"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6000-5597","authenticated-orcid":false,"given":"Alaa","family":"Sada","sequence":"first","affiliation":[{"name":"Department of Surgery Division of Endocrine Surgery University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly M.","family":"Ramonell","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Endocrine Surgery University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly L.","family":"McCoy","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Endocrine Surgery University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth B.","family":"Habermann","sequence":"additional","affiliation":[{"name":"Division of Health Care Delivery Research Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally E.","family":"Carty","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Endocrine Surgery University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linwah","family":"Yip","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Endocrine Surgery University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000003580"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010007\u20100201\u20106"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0039\u20106060(99)70088\u20107"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2019.07.014"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21196"},{"key":"e_1_2_9_7_1","unstructured":"The Collaborative Endocrine Surgery Quality Improvement Program (CESQIP) accessed on November 9 2024 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of Total Thyroidectomy in Large Goiters With Retrosternal Extension and Tracheal Compression: A Multivariate Analysis","volume":"16","author":"Sridar K.","year":"2024","journal-title":"Cureus"}],"container-title":["World Journal of 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