273:
265:
109:) or goiter. Other indications for surgery include cosmetic (very enlarged thyroid), or symptomatic obstruction (causing difficulties in swallowing or breathing). Thyroidectomy is a common surgical procedure that has several potential complications or sequelae including: temporary or permanent change in voice, temporary or permanently low calcium, need for lifelong thyroid hormone replacement, bleeding, infection, and the remote possibility of airway obstruction due to bilateral vocal cord paralysis. Complications are uncommon when the procedure is performed by an experienced surgeon.
29:
698:
499:
Patel, Kepal N.; Yip, Linwah; Lubitz, Carrie C.; Grubbs, Elizabeth G.; Miller, Barbra S.; Shen, Wen; Angelos, Peter; Chen, Herbert; Doherty, Gerard M.; Fahey, Thomas J.; Kebebew, Electron (March 2020). "The
American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management
709:
316:— Removal of majority of both lobes leaving behind 4-5 grams (equivalent to the size of a normal thyroid gland) of thyroid tissue on one or both sides—this used to be the most common operation for multinodular goitre.
488:
Rubio GA, Koru-Sengal T, Vaghaiwalla TM, Parikh PP, Farra JC, Lew JI.Postoperative outcomes in Graves’ disease patients: results from thenationwide inpatient sample database.Thyroid. 2017;27:825 –
334:— Entire gland is removed. Done in cases of papillary or follicular carcinoma of thyroid, medullary carcinoma of thyroid. This is now also the most common operation for multinodular goitre.
328:— Both lobes are removed except for a small amount of thyroid tissue (on one or both sides) in the vicinity of the recurrent laryngeal nerve entry point and the superior parathyroid gland.
742:
808:
479:
Sun GH, DeMonner S, Davis MM. Epidemiological and economic trends ininpatient and outpatient thyroidectomy in the United States, 1996 – 2006.Thyroid. 2013;23:727 – 733.
389:: Unilateral damage results in a hoarse voice. Bilateral damage presents as laryngeal obstruction after surgery and can be a surgical emergency: an emergency
557:
Dr. Gianlorenzo
Dionigi, Francesca Rovera, Luigi Boni, Patrizia Castano, and Renzo Dionigi. Surgical Infections. Summer 2006, 7(supplement 2): s-117-s-120.
714:
735:
48:
44:
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210:
have become popular in some parts of the world. In the United States it is a common procedure, performed over 100,000 times per year.
264:
411:(at about a 2% rate. Drainage is an important part of treatment.), possibly an increased risk with chronic pre-operative steroid use.
955:
879:
841:
340:— Removal of 1 entire lateral lobe with isthmus and partial/subtotal removal of opposite lateral lobe. Done in nontoxic MNG.
452:
physician, sometimes referred to as the "father of surgery", is credited with the performance of the first thyroidectomy.
950:
935:
889:
846:
772:
461:
386:
202:
Traditionally, the thyroid has been removed through a neck incision that leaves a permanent scar. More recently,
945:
702:
55:
393:
may be needed. Recurrent
Laryngeal nerve injury may occur during the ligature of the inferior thyroid artery.
207:
803:
543:
Mathur AK; GM Doherty (2010). "Ch. 1: Thyroidectomy and Neck
Dissection". In Minter RM; GM Doherty (eds.).
896:
649:
627:
322:—Removal of gland in front of trachea after mobilization. Done in nontoxic MNG. Its role is controversial.
252:
884:
191:. (Although technically a biopsy involves removing some tissue, it is more frequently categorized as an
851:
720:
128:. After the removal of a thyroid, patients usually take a prescribed oral synthetic thyroid hormone—
238:(enlarged thyroid gland with many nodules), especially if there is compression of nearby structures
669:
558:
396:
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97:, endocrine or head and neck surgeons often perform a thyroidectomy when a patient has thyroid
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39:
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Ignjatovic M: Overview of the history of thyroid surgery. Acta Chir Iugosl 2003; 50: 9–36.
382:
106:
94:
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Elfenbein, Dawn M.; Schneider, David F.; Chen, Herbert; Sippel, Rebecca S. (2014-07-01).
798:
665:
604:
571:
376:
228:
222:
133:
310:— Entire isthmus is removed along with 1 lobe. Done in benign diseases of only 1 lobe.
183:, literally “out-cutting”) of it. A thyroidotomy can be performed to get access for a
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129:
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Identifying preoperative risk factors for surgical wound infections in clean cases
572:"Surgical site infection after thyroidectomy: a rare but significant complication"
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temporary (transient) in many patients, but permanent in about 1 to 4% of patients
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Surgical procedure involving partial or complete removal of the thyroid
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http://online.liebertpub.com/doi/abs/10.1089/sur.2006.7.s2-117
143:(or unilateral lobectomy): removing only half of the thyroid
433:(This may compress the airway, becoming life-threatening.)
199:
because the volume of tissue removed is minuscule.)
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38:
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809:Combined rapid anterior pituitary evaluation panel
385:injury in about 1% of patients, in particular the
136:. Less extreme variants of thyroidectomy include:
652:) (2007), "Al-Zahrawi – The Father of Surgery",
436:Removal or devascularization of the parathyroids
165:A thyroidectomy should not be confused with a
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218:Thyroidectomy is used in the treatment of:
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729:
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379:in up to 50% of patients after ten years.
161:) connecting the two lobes of the thyroid
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101:or some other condition of the thyroid
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7:
717:From the Patient Education Institute
231:(produces too much thyroid hormone)
67:
666:10.1111/j.1445-2197.2007.04130_8.x
206:and "scarless" approaches such as
157:: removing the band of tissue (or
85:is an operation that involves the
14:
696:
576:The Journal of Surgical Research
268:A lobectomy of the thyroid gland
710:Early postoperative scar images
500:of Thyroid Disease in Adults".
880:Dexamethasone suppression test
842:Radioactive iodine uptake test
177:) the thyroid, not a removal (
89:removal of all or part of the
1:
112:The thyroid produces several
514:10.1097/SLA.0000000000003580
173:), which is a cutting into (
941:Surgical removal procedures
779:digestive system procedures
545:Current Procedures: Surgery
972:
890:Captopril suppression test
847:Sestamibi parathyroid scan
773:Islet cell transplantation
588:10.1016/j.jss.2014.03.033
462:List of surgeries by type
387:recurrent laryngeal nerve
338:Hartley Dunhill operation
255:(FNA) results are unclear
244:, especially if there is
68:
26:
715:Thyroid Surgery Tutorial
547:. New York: McGraw-Hill.
326:Near total thyroidectomy
956:Thyroidological methods
804:Transsphenoidal surgery
208:transoral thyroidectomy
132:(Synthroid)—to prevent
897:Fluid deprivation test
654:ANZ Journal of Surgery
314:Subtotal thyroidectomy
277:
269:
885:ACTH stimulation test
705:at Wikimedia Commons
320:Partial thyroidectomy
276:A total thyroidectomy
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267:
852:TRH stimulation test
253:fine needle aspirate
650:St Thomas' Hospital
332:Total thyroidectomy
251:Thyroid nodule, if
448:, a tenth century
397:Hypoparathyroidism
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204:minimally invasive
187:, or to perform a
185:median laryngotomy
951:Endocrine surgery
936:Surgical oncology
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922:
834:Parathyroidectomy
701:Media related to
660:(Suppl. 1): A83,
502:Annals of Surgery
308:Hemithyroidectomy
141:hemithyroidectomy
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130:levothyroxine
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22:Thyroidectomy
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915:Pinealectomy
907:Pineal gland
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633:, retrieved
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246:exophthalmos
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167:thyroidotomy
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111:
82:
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648:Ahmad, Z. (
427:Haemorrhage
151:isthmectomy
930:Categories
753:procedures
635:2016-10-30
468:References
446:Al-Zahrawi
403:Anesthetic
126:calcitonin
124:(T3), and
116:, such as
791:Pituitary
777:see also
751:Test and
596:1095-8673
522:0003-4932
416:granuloma
409:Infection
171:thyrotomy
118:thyroxine
105:(such as
765:Pancreas
674:57308997
614:24739508
530:32079830
456:See also
431:Hematoma
195:than an
114:hormones
87:surgical
40:ICD-9-CM
821:Thyroid
605:5125385
441:History
414:Stitch
197:‑ectomy
180:‑ectomy
159:isthmus
62:D013965
876:Tests
838:Tests
672:
612:
602:
594:
528:
520:
236:goiter
227:Toxic
193:‑otomy
189:biopsy
175:‑otomy
120:(T4),
99:cancer
93:. In
670:S2CID
421:Chyle
260:Types
103:gland
70:[
610:PMID
592:ISSN
526:PMID
518:ISSN
489:831.
450:Arab
423:leak
214:Uses
56:MeSH
49:06.5
45:06.3
662:doi
600:PMC
584:doi
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510:doi
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153:or
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169:(
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47:-
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