Resection of the thyroid gland
Author: Endocrinologist Andretsova N.V.
Typically, patients who are recommended for such an operation, want to know what it is and how dangerous it is.
What is resection?
The surgical removal of the thyroid gland damaged by the painful process or its site is called resection of the thyroid gland.
Can I do without an operation?
The need for surgical treatment of the thyroid gland arises when conservative treatment does not give proper results or if the pathological process present in the tissue of the gland is a threat to the life of the patient.
Given the complexity of the operation, in order to obtain an excellent result, contact a qualified surgeon and endocrinologist at a specialized clinic.
When the patient calls the surgeon-endocrinologist to determine the need for surgical intervention and its volume, the diagnosis is clarified, analyzing the results of ultrasound examination, the parameters of the gland function, the conclusion of cytological examination after the fine needle puncture biopsy of the nodes.
Indications for mandatory surgical treatment
1. Thyroid cancer.
2. Nodulation of the thyroid gland more than 3 cm in the absence of convincing data in favor of a benign process according to cytological and ultrasound data.
3. Hormonal-active nodes that cause the phenomenon of thyrotoxicosis - toxic adenoma.
4. Significant in magnitude goiter, causing compression of the neck.
What are the types of resection?
Given the nature and prevalence of the process, the volume of the operation can be as follows:
1. Excision of the pathologically altered portion of one lobe of the gland.
2. Resection of the gland - removal of the whole lobe and part or all of the isthmus - hemithireoectomy, is performed when one lobe is affected.
3. Resection of the isthmus of the gland, if there is a node in it.
4. Two-sided resection of sections of the gland with pathology.
5. With subtotal resection in the case of a diffuse or multi-site toxic, the goiter removes almost all of the gland, leaving about 6 g of its healthy tissue.
6. With cancer, multinodular goiter of large size, autoimmune thyroiditis removes all gland.
The high level of modern surgery makes it possible to treat the thyroid gland to prevent relapses of the disease to significantly reduce the danger of postoperative complications such as bleeding, paresis of the vocal cords, development of hypoparathyroidism. The subsequent observation of the endocrinologist will, if necessary, regulate the hormonal background with thyroid hormone preparations. This will allow the patient to lead a full life without reducing its quality.
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