1
Total Thyroidectomy Dr John Chaplin Auckland New Zealand
Total Thyroidectomy Dr John Chaplin Auckland New Zealand
DATE: 2013/03/25::
2
TOTAL THYROIDECTOMY IN TANASICON 2012 by DR. SARAVANAMUTHU MARIMUTHU
TOTAL THYROIDECTOMY IN TANASICON 2012 by DR. SARAVANAMUTHU MARIMUTHU
DATE: 2012/10/03::
3
Total Thyroidectomy--Surgical tips- Rajnish Talwar.wmv
Total Thyroidectomy--Surgical tips- Rajnish Talwar.wmv
DATE: 2012/08/07::
4
Thyroidectomy.wmv
Thyroidectomy.wmv
DATE: 2010/07/12::
5
Thyroid Surgery & Its Risks / Complications (Thyroidectomy) (GRAPHIC)
Thyroid Surgery & Its Risks / Complications (Thyroidectomy) (GRAPHIC)
DATE: 2013/04/05::
6
Right Hemi thyroidectomy complete surgery
Right Hemi thyroidectomy complete surgery
DATE: 2013/11/17::
7
Partial Thyroidectomy The Pre & Post Info You Just Might Want to Know! beforehand
Partial Thyroidectomy The Pre & Post Info You Just Might Want to Know! beforehand
DATE: 2013/07/05::
8
Life after Thyroidectomy/Thyroid Cancer (16 months)
Life after Thyroidectomy/Thyroid Cancer (16 months)
DATE: 2015/01/02::
9
CA THYROID TOTAL THYROIDECTOMY
CA THYROID TOTAL THYROIDECTOMY
DATE: 2013/07/09::
10
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Tireoidectomia parcial / partial thyroidectomy
DATE: 2013/01/01::
11
TransOral Endoscopic Thyroidectomy: Vestibular Approach, A new NOS of thyroid surgery.
TransOral Endoscopic Thyroidectomy: Vestibular Approach, A new NOS of thyroid surgery.
DATE: 2014/07/01::
12
Two Months post Thyroidectomy
Two Months post Thyroidectomy
DATE: 2014/08/01::
13
Thyroidectomy With Harmonic Scalpel
Thyroidectomy With Harmonic Scalpel
DATE: 2013/02/02::
14
Best da Vinci robotic thyroidectomy video.wmv
Best da Vinci robotic thyroidectomy video.wmv
DATE: 2010/12/24::
15
Day One: Three Hours After A Total Thyroidectomy
Day One: Three Hours After A Total Thyroidectomy
DATE: 2013/11/08::
16
Recovery: the day after my total thyroidectomy
Recovery: the day after my total thyroidectomy
DATE: 2014/08/23::
17
Thyroid Surgery Thyroidectomy
Thyroid Surgery Thyroidectomy
DATE: 2014/06/05::
18
Video Endoscopic Thyroidectomy,Dr Tran Ngoc Luong, Ha Noi, Viet Nam
Video Endoscopic Thyroidectomy,Dr Tran Ngoc Luong, Ha Noi, Viet Nam
DATE: 2010/03/17::
19
Minimally Invasive Total Thyroidectomy Video
Minimally Invasive Total Thyroidectomy Video
DATE: 2013/09/16::
20
Total thyroidectomy with Neck Dissection
Total thyroidectomy with Neck Dissection
DATE: 2013/01/23::
21
Thyroidectomy.wmv
Thyroidectomy.wmv
DATE: 2010/08/27::
22
Endoscopic total thyroidectomy with node dissection for papillary thyroid cancer
Endoscopic total thyroidectomy with node dissection for papillary thyroid cancer
DATE: 2012/11/20::
23
Functional Neck Dissection with Total Thyroidectomy- Berchtold Diathermy
Functional Neck Dissection with Total Thyroidectomy- Berchtold Diathermy
DATE: 2013/02/10::
24
Applied anatomy of subtotal thyroidectomy.
Applied anatomy of subtotal thyroidectomy.
DATE: 2011/02/20::
25
Mount Sinai technique for Endoscopic Transaxillary Thyroidectomy
Mount Sinai technique for Endoscopic Transaxillary Thyroidectomy
DATE: 2014/09/11::
26
Prof. Fukunari
Prof. Fukunari' s Thyroid Surgery :Total Thyroidectomy + CND with LigaSure Small Jaw
DATE: 2013/08/14::
27
Robotic Thyroidectomy Uses a Small Incision
Robotic Thyroidectomy Uses a Small Incision
DATE: 2011/12/01::
28
Robotic Thyroidectomy Transaxillary
Robotic Thyroidectomy Transaxillary
DATE: 2013/06/17::
29
Endoscopic Thyroidectomy by Axillary Approach: Rajavithi Hospital
Endoscopic Thyroidectomy by Axillary Approach: Rajavithi Hospital's experience
DATE: 2013/06/06::
30
Thyroidectomy Diary: Postop 9 Days
Thyroidectomy Diary: Postop 9 Days
DATE: 2014/02/28::
31
Minimally invasive thyroidectomy using the BiClamp® 150 C
Minimally invasive thyroidectomy using the BiClamp® 150 C
DATE: 2013/03/12::
32
ENDOSCOPIC THYROIDECTOMY - DR. AJAIYAKUMAR SK
ENDOSCOPIC THYROIDECTOMY - DR. AJAIYAKUMAR SK
DATE: 2014/07/07::
33
Subtotal Thyroidectomy
Subtotal Thyroidectomy
DATE: 2013/12/30::
34
Axillary Endoscopic Thyroidectomy.mov
Axillary Endoscopic Thyroidectomy.mov
DATE: 2010/02/21::
35
Datta
Datta's Total Thyroidectomy
DATE: 2011/09/15::
36
Surgery Update Post Thyroidectomy #3
Surgery Update Post Thyroidectomy #3
DATE: 2014/07/25::
37
2 wk post thyroidectomy journey
2 wk post thyroidectomy journey
DATE: 2013/12/04::
38
HEMI THYROIDECTOMY-dr.T.VARUN RAJU_0001.wmv
HEMI THYROIDECTOMY-dr.T.VARUN RAJU_0001.wmv
DATE: 2012/02/22::
39
Subtotal Thyroidectomy new
Subtotal Thyroidectomy new
DATE: 2014/09/24::
40
"No Neck Scar Endoscopic Thyroidectomy;" Revisited
"No Neck Scar Endoscopic Thyroidectomy;" Revisited
DATE: 2009/11/15::
41
Thyroid cancer: Two weeks after thyroidectomy
Thyroid cancer: Two weeks after thyroidectomy
DATE: 2014/04/30::
42
Thyroidectomy | Nikki
Thyroidectomy | Nikki's Story
DATE: 2014/05/06::
43
RIGHT RECURRENT LARYNGEAL NERVE DISSECTION IN THYROIDECTOMY
RIGHT RECURRENT LARYNGEAL NERVE DISSECTION IN THYROIDECTOMY
DATE: 2012/09/09::
44
Total Thyroidectomy Surgery Video
Total Thyroidectomy Surgery Video
DATE: 2013/09/24::
45
Robotic Thyroidectomy
Robotic Thyroidectomy
DATE: 2013/06/17::
46
Day Three After A Total Thyroidectomy
Day Three After A Total Thyroidectomy
DATE: 2013/11/09::
47
Post partial thyroidectomy
Post partial thyroidectomy
DATE: 2015/03/12::
48
THYROIDECTOMY FOR RECURRENT GOITRE WITH RETROSTERNAL EXTENSION د.مصطفى الورد/ابن النفيس/بغداد
THYROIDECTOMY FOR RECURRENT GOITRE WITH RETROSTERNAL EXTENSION د.مصطفى الورد/ابن النفيس/بغداد
DATE: 2013/04/25::
49
Endoscopic Transoral Thyroidectomy
Endoscopic Transoral Thyroidectomy
DATE: 2014/09/04::
50
thyroidectomy
thyroidectomy
DATE: 2009/12/31::
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RESULTS [51 .. 101]
From Wikipedia, the free encyclopedia
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Thyroidectomy
Intervention
Thyroid Surgery.jpg
Thyroid Surgery
ICD-9-CM 06.3-06.5
MeSH D013965

A thyroidectomy is an operation that involves the surgical removal of all or part of the thyroid gland. 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 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 sequela 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.

The thyroid produces several hormones, such as thyroxine (T4), triiodothyronine (T3), and calcitonin.

After the removal of a thyroid, patients usually take a prescribed oral synthetic thyroid hormone - levothyroxine (Synthroid) - to prevent hypothyroidism.

Less extreme variants of thyroidectomy include:

  • "hemithyroidectomy" (or "unilateral lobectomy") -- removing only half of the thyroid
  • "isthmectomy"—removing the band of tissue (or isthmus) connecting the two lobes of the thyroid

A "thyroidectomy" should not be confused with a "thyroidotomy" ("thyrotomy"), which is a cutting into (-otomy) the thyroid, not a removal (-ectomy) of it. A thyroidotomy can be performed to get access for a median laryngotomy, or to perform a biopsy. (Although technically a biopsy involves removing some tissue, it is more frequently categorized as an -otomy than an -ectomy because the volume of tissue removed is minuscule.)

Indications[edit]

Types of Thyroidectomy[edit]

A lobectomy of the thyroid gland
A total thyroidectomy
  • Hemithyroidectomy - Entire isthmus is removed along with 1 lobe. Done in benign diseases of only 1 lobe.
  • Subtotal thyroidectomy - Done in toxic thyroid, primary or secondary, and also for toxic multinodular goiter (MNG).
  • Partial thyroidectomy - Removal of gland in front of trachea after mobilization. Done in nontoxic MNG. Its role is controversial.
  • Near total thyroidectomy - 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.
  • Total thyroidectomy - Entire gland is removed. Done in cases of papillary or follicular carcinoma of thyroid, medullary carcinoma of thyroid.
  • Hartley Dunhill operation - Removal of 1 entire lateral lobe with isthmus and partial/subtotal removal of opposite lateral lobe. Done in nontoxic MNG.

Complications[edit]

  • Hypothyroidism/Thyroid insufficiency in up to 50% of patients after ten years
  • Laryngeal nerve injury in about 1% of patients, in particular the recurrent laryngeal nerve: Unilateral damage results in a hoarse voice. Bilateral damage presents as laryngeal obstruction after surgery and can be a surgical emergency: an emergency tracheostomy may be needed. Recurrent Laryngeal nerve injury may occur during the ligature of the inferior thyroid artery.
  • Hypoparathyroidism temporary (transient) in many patients, but permanent in about 1-4% of patients
  • Anesthetic complications
  • Infection (at about a 2% rate. Drainage is an important part of treatment.) [2]
  • Stitch granuloma
  • Chyle leak
  • Haemorrhage/Hematoma (This may compress the airway, becoming life-threatening.)
  • Removal or devascularization of the parathyroids

Illustrative complication rates outside of the US and Western Europe: - Study from Uzbekistan.[3]

References[edit]

  1. ^ Mathur AK and GM Doherty (2010). "Ch. 1: Thyroidectomy and Neck Dissection". In Minter RM and GM Doherty. Current Procedures: Surgery. New York: McGraw-Hill. 
  2. ^ Dr. Gianlorenzo Dionigi, Francesca Rovera, Luigi Boni, Patrizia Castano, and Renzo Dionigi. Surgical Infections. Summer 2006, 7(supplement 2): s-117-s-120. http://online.liebertpub.com/doi/abs/10.1089/sur.2006.7.s2-117
  3. ^ http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=1399&Type=FREE&TYP=TOP&IN=~/eJournals/images/JPLOGO.gif&IID=118&isPDF=YES

External links[edit]

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