Patients will receive general anesthesia. Patients who spend the night in the hospital are typically discharged by 10AM the next morning. Patients who are asked to stay overnight generally have very large goiters, advanced cancer, bleeding disorders, a history of taking anticoagulation, or have a personal preference to spend the night. In certain cases, a patient may be asked to spend the night in the hospital. See our Scar Gallery section for examples of minimally invasive thyroid surgery.Īt the Columbia Thyroid Center, 95% of our patients are able to go home after a 4 hour observation period in the recovery room. Most people will not be able to notice the incision once the redness fades away. In addition to using very small incisions, our surgeons "hide" the incision in a natural skin crease which acts like camouflage. Columbia Thyroid Center surgeons perform minimally invasive thyroid surgery in over 95% of patients, typically using an incision measuring just an inch to an inch and a half in length. Minimally invasive thyroid surgery refers to certain types of surgery in which the thyroid is removed through very small incisions using special techniques. The typical incision made for thyroid surgery is known as a "collar incision" in which a large incision (around 5 to 6 inches) is made stretching from one side of the neck to the other just above the collar bone. It is critical to work with a team of thyroid specialists to choose the right operation for each individual patient. The decision as to which thyroid operation to perform depends on a number of factors including the type of disease and the patient's preferences. After a completion thyroidectomy, patients will need to take thyroid hormone replacement pills (one pill a day for the rest of their lives). This percent decreases in older women, patients with a personal or family history of Hashimoto's thyroiditis or hypothyroidism, and patients with a family history of autoimmune disease.Ĭompletion thyroidectomy: removal of any remaining thyroid tissue.Ī completion thyroidectomy is usually done after a thyroid lobectomy reveals cancer in the first half of the thyroid but may also be done for multinodular goiter or hyperthyroidism. Approximately 70% of patients who have half of a normal thyroid gland left in place will not require thyroid hormone replacement pills. The final pathology is ready approximately 1 week after the operation. In cases of indeterminate lesions, some surgeons refer to a thyroid lobectomy as a diagnostic lobectomy because the main purpose of the operation is to make a diagnosis – cancer or benign thyroid disease. Thyroid lobectomy (aka hemithyroidectomy): removal of half of the thyroidĪ thyroid lobectomy may be done for a variety of diseases including indeterminate lesions on fine needle biopsy (See Thyroid Nodules Diagnosis and Treatment »), a toxic nodule (See Hyperthyroidism »), substernal goiter, and an enlarging thyroid nodule, among others. After a total thyroidectomy, patients will need to take thyroid hormone replacement pills (one pill a day for the rest of their lives). ![]() In certain cases, the surgeon may choose to perform a near-total thyroidectomy in which a small piece of thyroid tissue is left behind usually in the area of the parathyroid glands and recurrent laryngeal nerve in order to avoid damaging these structures. In general, there are three types of thyroid resections: Total thyroidectomy: removal of the entire thyroidĪ total thyroidectomy may be done for a variety of diseases including thyroid cancer, Graves' disease (See Hyperthyroidism »), multinodular goiter, and substernal goiter, among others.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |