What is Thyroidectomy? A Complete Guide

What is Thyroidectomy?

Thyroidectomy is a surgery to remove all or part of the thyroid gland. The thyroid gland sits at the front of your neck. It helps control your body’s energy and metabolism. In general surgery and transplant surgery, thyroidectomy is a common procedure. Many people need this surgery for different health reasons. Sometimes, doctors remove the whole gland. Other times, they take out just a part. This depends on your condition and your doctor’s advice.

Why is Thyroidectomy Performed?

Doctors may suggest thyroidectomy for several reasons. Often, it is done to treat thyroid cancer. But, there are other reasons too. For example, some people have large thyroid nodules or goiters. These can cause trouble with breathing or swallowing. In addition, thyroidectomy may help if you have an overactive thyroid (hyperthyroidism) that does not improve with medicine. Sometimes, a biopsy shows cells that might become cancer. In these cases, surgery is the safest choice.

  • Thyroid cancer
  • Large goiter or thyroid nodules
  • Overactive thyroid (hyperthyroidism)
  • Suspicious biopsy results
  • Types of Thyroidectomy

    There are different types of thyroidectomy. The type depends on how much of the gland is removed. Your doctor will choose the best option for you. Here are the main types:

  • Total thyroidectomy: The whole thyroid gland is removed.
  • Partial (subtotal) thyroidectomy: Only part of the gland is taken out.
  • Lobectomy: One side (lobe) of the thyroid is removed.
  • Isthmusectomy: Only the middle part (isthmus) is removed.
  • Each type has its own reasons and benefits. Your doctor will explain which is right for you.

    How is the Procedure Done?

    Before surgery, you will meet your surgical team. They will explain the steps and answer your questions. Usually, thyroidectomy is done under general anesthesia. This means you will be asleep and feel no pain. The surgeon makes a small cut at the front of your neck. Then, the thyroid gland or part of it is carefully removed. In some cases, doctors use special tools or a camera for a less invasive approach. After the gland is removed, the cut is closed with stitches or glue. Most people stay in the hospital for one night. However, some may go home the same day.

    Recovery and Aftercare

    After thyroidectomy, you will need some time to recover. Most people can return to normal activities within two weeks. However, everyone heals at their own pace. Here are some tips for a smooth recovery:

  • Follow your doctor’s instructions closely
  • Take pain medicine as prescribed
  • Keep the wound clean and dry
  • Watch for signs of infection, such as redness or swelling
  • Attend all follow-up visits
  • Sometimes, you may need to take thyroid hormone pills after surgery. This helps your body work properly if your thyroid gland was removed. Your doctor will check your hormone levels and adjust your medicine as needed.

    Risks and Complications

    Like all surgeries, thyroidectomy has some risks. But, serious problems are rare. Most people recover well. Still, it is important to know the possible risks:

  • Bleeding or infection at the surgery site
  • Hoarseness or voice changes (usually temporary)
  • Low calcium levels if the parathyroid glands are affected
  • Need for lifelong thyroid hormone replacement
  • Your surgical team will take steps to lower these risks. If you notice any unusual symptoms, contact your doctor right away.

    Frequently Asked Questions

  • Is thyroidectomy a major surgery?
  • While it is a common surgery, it is still considered major. However, most people recover quickly.
  • Will I have a scar?
  • Yes, there will be a small scar at the front of your neck. Over time, it usually fades.
  • Can I live without a thyroid gland?
  • Yes, but you will need to take thyroid hormone pills every day.
  • How long does the surgery take?
  • Most thyroidectomies take 1 to 2 hours.
  • Is thyroidectomy safe?
  • Yes, it is generally safe when done by an experienced surgeon. Serious problems are rare.
  • Consult a qualified surgeon for personalized advice about thyroidectomy.