Chapter 3: Extent of Thyroidectomy

Abstract

ABSTRACT Extent of thyroidectomy is one of the most contentious issues in the management of differentiated thyroid cancers as surgical resection has definite implications on outcomes, complications, and adjuvant treatment and surveillance options. While there is reasonable clarity on either end of the spectrum, defining optimum surgery for intermediate thyroid cancers is crucial. This chapter has been compiled after reviewing relevant literature and aims to present an unbiased view on the topic. Authors have attempted to present practice recommendations on adequate surgery for primary thyroid cancer. These consensus guidelines have then been thoroughly reviewed by a task force. Thyroid being a favorable biological disease, conservative surgical techniques should be implemented to prevent avoidable morbidity. Precision surgery is important. Appropriate patient selection and personalized medicine-based decision-making are key.