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A thyroidectomy is an operation that involves the surgical removal of all or part of the thyroid gland. In general surgery, endocrine or head and neck surgeons often perform a thyroidectomy when a patient has thyroid cancer or some other condition of the thyroid gland (such as hyperthyroidism) or goiter. Other indications for surgery include ...
Post-operative complications at high-volume thyroid surgery centers with experienced surgeons are comparable to that of hemithyroidectomy. Arguments for hemithyroidectomy: Most patients have low-risk cancer with an excellent prognosis, with similar survival outcomes in low-risk patients who undergo total thyroidectomy versus hemithyroidectomy.
If the nodule is malignant or has indeterminate cytologic features, it may require surgery. [2] A thyroidectomy is a medium-risk surgery that can result in complications if not performed correctly. Problems with the voice, nerve or muscular damage, or bleeding from a lacerated blood vessel are rare but serious complications that may occur.
Surgery may involve removing part or all of the thyroid. [4] Five-year survival rates are 98% in the United States. [5] Globally as of 2015, 3.2 million people have thyroid cancer. [6] In 2012, 298,000 new cases occurred. [12] It most commonly is diagnosed between the ages of 35 and 65. [5] Women are affected more often than men. [5]
A large majority of the thyroid may be removed (subtotal thyroidectomy) to treat the hyperthyroidism of Graves' disease, or to remove a goiter that is unsightly or impinges on vital structures. [citation needed] A complete thyroidectomy of the entire thyroid, including associated lymph nodes, is the preferred treatment for thyroid cancer.
Minor post-operative pulmonary complications include events such as atelectasis, bronchospasm, laryngospasm, and unanticipated need for supplemental oxygen therapy after the initial postoperative period.) [14] Of all patient-related risk factors, good evidence supports patients with advanced age, ASA class II or greater, functional dependence ...
A 51-year-old female patient post total thyroidectomy for PTC with elevated thyroglobulin measurement. an Axial non-enhanced CT scan of the neck at the level of the thyroid bed demonstrates a well-defined, rounded, homogenously dense soft tissue situated between the trachea and left internal jugular vein (white arrow). b Transverse ultrasound ...
Surgery (thyroidectomy to remove the whole thyroid or a part of it) is not extensively used because most common forms of hyperthyroidism are quite effectively treated by the radioactive iodine method, and because there is a risk of also removing the parathyroid glands, and of cutting the recurrent laryngeal nerve, making swallowing difficult ...