Thyroidectomy surgery thyroid size of the gland and also lymph node dissection is considering whether to planned operations. Sometimes surgical intervention may be required in the treatment of thyroid gland cancer or different diseases other than cancer. In this case, thyroidectomy comes into play. It should be noted that today this surgery is performed with much more advanced techniques. In order to minimize the risk of complications, the operation should be performed by experienced surgeons as much as possible. We will also convey the answers to questions such as how much of the gland should be taken. But first, let’s consider this operation in more detail.

Is Surgery Necessary?

Not every patient with a thyroid -related health problem needs surgery. After making a diagnosis, your doctor will evaluate the current condition in detail. In this way, it may be possible to apply non-surgical treatment methods. Only in some case is the operation necessary. Your doctor will make the necessary explanations about this.

How Much of My Thyroid Gland Needs to be Removed?

Of course, how much of the thyroid gland is removed is not the same in every patient . The decision on this issue should be made by the surgeon who will perform the operation. Total or near-total thyroidectomy surgery is generally preferred in patients with papillary or follicular thyroid cancer . In such cases, radioactive iodine treatment is performed immediately after the surgery, and it is aimed to increase the success rate of the treatment. In patients larger than 1.5 cm or with aggressive cancer, possible lymph node metastases should be removed. This may also apply to patients with medullary thyroid cancer. Therefore, wider lymph node dissection should be performed.

If patients have unilateral overactive nodules, complaints such as pressure, hoarseness, difficulty in swallowing or shortness of breath, lobectomy may be preferred. For this, the nodule must be benign. However, total or near-total thyroidectomy should be performed for patients with Graves’ disease and patients with large multinodular goiter . As a result, how much of the thyroid gland should be removed is closely related to the picture of the disease. Both the current discomfort and the general condition of the patient are evaluated together by the physician and the patient is treated with the most appropriate surgical method.

What is Post-Surgery like?

Patients wonder what kind of process awaits them after the surgery. In particular, they may want to get detailed information about how they can continue to do everything they can do before the surgery. First of all, let’s say that there should be a short recovery period and it is important for the patients to rest during this process. There may be mild pain after the surgery and this is quite normal. Your doctor may prescribe pain relievers that you can use in such cases. Pain can be controlled with medication.

After the effects of the surgery are completely gone, you can do everything you did before the surgery after the operation. However, some patients may need to use medication for life after the operation. The use of medicine is extremely important in order to lead a healthy life. For this reason, patients should be absolutely meticulous about the use of medicine. Many patients develop hypothyroidism after surgery . In this case, the patient should be treated with thyroid hormone after the operation . We can say that  is especially true after thyroid cancer surgeries. In some patients, radioactive iodine treatment is performed after surgery. If this treatment is to be applied, thyroid hormone replacement therapy is delayed for several weeks.

What is Near Total Thyroidectomy ?

We can say that thyroidectomy can be performed with different techniques. Operations in this area are as follows:

  • Unilateral Thyroidectomy ( Lobectomy + Isthmectomy )

This method is the technique that is frequently applied today and is considered as the most minimal thyroid surgery. Some risks are much lower or not at all in unilateral thyroidectomy surgeries. However , it should not be forgotten that it is an operation that can be preferred in the case of benign thyroid tumors. In the presence of malignant thyroid tumors, surgery should be performed with different techniques. In this method, the remaining thyroid gland tissue after the operation usually provides a sufficient amount of hormones. Accordingly, patients do not need to use medicine after surgery.

  • Total Thyroidectomy

Total thyroidectomy is a preferred surgical intervention in some diseases affecting the thyroid gland, such as multinodular goiter, and also in thyroid cancer. In this surgical method , it is aimed to remove the entire thyroid gland. Let’s underline that this is a mandatory choice for treatment. Therefore, after the surgery, the patient must use medication for life.

  • Total Thyroidectomy + Lymph Node Dissection

This method involves removing only the central lymph nodes or lateral cervical lymph nodes together. When the patient is diagnosed with thyroid cancer, this method needs to be applied in some stages of the cancer. Sometimes, we can say that the surgery should be performed in some cancer subtypes that are very rare.

Meanwhile, one of the frequently asked questions is what the concept of lobectomy means. Lobectomy is the name given to the surgical removal of approximately half of the thyroid gland. Subtotal thyroidectomy method is present in an amount in both lobes during surgery though tyrosine was tissue is released. It is evacuated from the body during the operation with the remaining thyroid gland tissue.

How Many Hours Does Thyroidectomy Surgery Take?

The intervention in thyroid surgery may not be exactly the same for every patient. Accordingly, we can say that the duration of the operation may vary from person to person. Generally, the operation time varies between 1 hour and 2 hours. However, it is possible for this period to be shorter or longer depending on the patient’s condition and the intervention to be made. It is recommended that the patient rest for a few days after the operation. You can write your questions about this subject in the comment section.