Abstract
Introduction: Thyroid cancer in young people has distinguished features compared to the older, which affects surgical plan and outcome. Participants and Methods: This is a prospective cohort study of 89 well-differentiated thyroid carcinoma patients under 40 years old treated by surgery at Hanoi medical university Hospital from September 2019 to May 2020. Results: The proportions of patients who had undergone total thyroidectomy and lobectomy were 46.9% and 53.1%, in each group neck dissection had been performed in 92.7% and 25.6%% respectively. Recurrent laryngeal nerve injury and hypocalcemia were the two most common complications, accounting for 23,6% and 17,2% after 72h respectively, in which patients with total thyroidectomy had higher rates. Conclusion: Total thyroidectomy and lobectomy increased the risk of complications of recurrent laryngeal nerve damage and parathyroid gland damage. Complications were also more common among patients with lymph node dissection, but the difference was not statistically significant. Keywords: well-differentiated thyroid cancer, young people, surgical outcomes
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