DOI: 10.36347/sjams.2022.v10i12.074

Pages: 2517-2524

Background: The choice between hemithyroidectomy (HT) and total thyroidectomy (TT) in the treatment of papillary thyroid carcinoma (PTC) remains a subject of ongoing debate, particularly in terms of complication rates, recurrence, and patient satisfaction. This study aimed to compare the surgical outcomes between HT and TT in a cohort of PTC patients. Methods: This retrospective cohort study reviewed the medical records of 79 patients diagnosed with PTC, divided into two groups: Group 1 (n = 39) underwent HT, while Group 2 (n = 40) underwent TT. Data on patient demographics, tumor characteristics, intraoperative and postoperative complications, recurrence, and patient satisfaction were analyzed. Statistical analyses were performed using Chi-square tests, with a p-value of <0.05 considered statistically significant. Results: The mean age of patients in both groups was similar). Intraoperative complications, particularly bleeding, were more frequent in Group 2 (32.50%) compared to Group 1 (10.26%). Postoperative complications, including persistent hypocalcemia, were higher in Group 2, affecting 10.00% of patients, while none were reported in Group 1. Group 1 experienced a shorter hospital stay (3 ± 1.82 days) compared to Group 2 (7 ± 4.24 days). Recurrence rates were slightly higher in Group 1 (7.69%) compared to Group 2 (5.00%), but the difference in local recurrence was significant (2.56% in Group 1 vs. 0% in Group 2). Persistance hoarseness of voice was observed in 0% among group 1 patients and 2.5% among group 2. Overall patient satisfaction was high in both groups, with 82.05% of Group 1 and 75.00% of Group 2 reporting satisfaction, although dissatisfaction was higher in Group 2. Conclusion: Hemithyroidectomy offers significant advantages in terms of fewer complications, shorter hospital stays, and higher patient satisfaction, making it a suitable option for low-risk PTC patients. Hemithyroidectomy also reported no long term hoarseness of voice, while slight pres