Thyroidectomy is the surgical removal of all or part of the thyroid gland. This gland is in the neck. It produces hormones that regulate metabolism. The surgery may be a:
The Thyroid Gland
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All or part of the thyroid gland may be surgically removed for any of the following reasons:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Some factors that may increase the risk of complications include:
Your doctor may do the following:
Leading up to your procedure:
General anesthesia will be used. You will be asleep.
An incision will be made in the front of the neck. Bleeding vessels will be clamped and tied off. All or part of the thyroid gland will be cut away from other tissues in the neck. Care will be taken to avoid injury to other nearby glands and nerves. Bleeding is controlled with special tools that compress and seal the ends of the vessels. The incision will be closed. The edges of skin will be stitched together. A drain will often be left in overnight. It will help drain any extra fluids.
The thyroid may be removed to treat thyroid cancer. In this case, lymph nodes in the area may also be removed. This will test if the cancer has spread.
In some cases, the doctor may be able to remove the thyroid using endoscopic surgery. This involves making small incisions, instead of a large incision in the neck. This is becoming more common.
About 2-4 hours
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
The usual length of stay is one day. Your doctor may choose to keep you longer if complications arise.
When you return home, do the following to help ensure a smooth recovery:
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
In case of an emergency, call for medical help right away.
The American Academy of Otolaryngology—Head and Neck Surgery
National Cancer Institute
Canadian Cancer Society
Canadian Society of Otolaryngology—Head and Neck Surgery
Q & A: Thyroidectomy. American Thyroid Association website. Available at: http://www.thyroid.org/patient-thyroid-information/what-are-thyroid-problems/q-and-a-thyroidectomy/. Accessed August 7, 2013.
Thyroidectomy. Cedars-Sinai website. Available at: http://www.cedars-sinai.edu/Patients/Programs-and-Services/Head-and-Neck-Cancer-Center/Treatment/Thyroidectomy-.aspx. Accessed August 7, 2013.
Thyroidectomy. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/services/thyroidectomy/hic_thyroidectomy.aspx. Updated April 12, 2006. Accessed August 7, 2013.
Last reviewed May 2014 by Michael Woods, MD
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