Thyroidectomy (thyroid removal)

Category: General & Abdominal Surgery · All general & abdominal surgery

Thyroidectomy (thyroid removal) — General & Abdominal Surgery

What it is

A thyroidectomy removes part (lobectomy) or all (total thyroidectomy) of the thyroid gland in the front of the neck, through a cut in a natural skin crease.

Why it is done

It is used for thyroid cancer, large or compressive goitres, some overactive thyroid conditions not controlled otherwise, and thyroid nodules that are suspicious or causing symptoms.

How to prepare

You will have blood tests, thyroid function checks, sometimes a scan and voice assessment. Calcium and vitamin D advice may be given for total thyroidectomy. Fast before surgery and review medicines, especially blood thinners.

What happens during the procedure

Under general anaesthetic, the surgeon removes the thyroid tissue while carefully protecting the nearby parathyroid glands (which control calcium) and the nerves to the voice box, which are sometimes monitored electronically. Surgery takes about one to two hours.

Afterwards — recovery & results

Most people stay one night (sometimes two after total removal) with blood calcium checks. The neck wound usually heals with a fine scar. After total thyroidectomy you will take thyroid hormone tablets long-term with blood test monitoring. Voice tiredness early on is common.

Risks & considerations

Risks include bleeding in the neck (which can press on the airway and needs urgent care), low calcium from disturbed parathyroids (usually temporary, sometimes permanent), and voice change from irritation or injury of the voice-box nerve. Your surgeon will discuss rates in their practice.

Watch: Thyroidectomy (thyroid removal) videos

Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.

Frequently asked questions

Will my voice be normal?

Most people notice some early voice tiredness or huskiness that settles over weeks. Permanent significant voice change from nerve injury is uncommon.

Why calcium checks after surgery?

The tiny parathyroid glands sit behind the thyroid and can be temporarily stunned by surgery, lowering blood calcium. Tingling around the mouth or in fingers can be a sign, so levels are monitored and supplements given if needed.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.