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Invited Commentaries

Thomas S. Reeve, CBE, MB, BS, FRACS, FCM(SAfr), FPCS
Arch Surg. 1993;128(9):1064. doi:10.1001/archsurg.1993.01420210128019.
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It is refreshing to read the summary of an article that propounds a clear course of action in a controversial area. It is even more refreshing to read in this report "that with the correct approach, good results can be achieved within the context of a general surgeon's practive."

The series, although substantial, represents about 20 thyroidectomies a year for one surgeon, ie, a thyroidectomy every 2½ weeks during a 10-year period. In that context, the surgeon is carrying out his surgery in a general surgical practice. Furthermore, he is recording results that match those from clinics doing a significantly greater amount of thyroid surgery. The results are exemplary and are worthy of congratulation; those who continue to promote lesser surgery for thyroid cancer on the basis of the possible complication rate of total thyroidectomy should review their stance. The morbidity in this series is less than for lesser surgery


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