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Abstract
Although cervical lymph node metastases are common in papillary thyroid cancer, there is considerable debate regarding the use of routine prophylactic cervical lymph-node group VI dissection for all patients undergoing total thyroidectomy. Objective: To identify the complications and the early recurrence rate of papillary thyroid carcinoma treated with total thyroidectomy plus cervical lymph node group VI dissection. Materials and methods: A prospective study was conducted on 60 patients with papillary thyroid carcinoma. They underwent total thyroidectomy with or without lymph node group VI dissection. Evaluation of postoperative complications and early recurrence rate/distant metastasis after 2 years. Results: The incident of transient hypoparathyroidism in the group total thyroidectomy with or without lymph node group VI dissection: 13.3% and 6.7% respectively. Neck lymph node dissection group VI helps detect 40.9% of cases of metastatic lymph nodes cleared undetectable. Neck lymph node recurrence rate in patients with lymph node group VI dissection is lower than group without dissection (3.3% versus 23.3%). Conclusions: Cervical lymph nodes group VI dissection in preventive treatment of papillary thyroid carcinoma should be done.
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