Total/Subtotal Thyroidectomy
Cost: $6,232 USD
Hospitalization duration: 2 days
What is Total/Subtotal Thyroidectomy?
Thyroidectomy is a surgical procedure that involves the total or partial removal of the thyroid gland. This procedure is indicated in cases of diseases such as hyperthyroidism, large thyroid nodules, compressive goiter, or thyroid cancer.
- Total thyroidectomy: The thyroid gland is completely removed, usually in cases of cancer or conditions that affect both lobes.
- Subtotal thyroidectomy: A portion of the gland is left intact to preserve some thyroid function, which is useful in certain non-malignant conditions.
The procedure is performed under general anesthesia, and its main objective is to relieve symptoms, prevent complications, and, in the case of cancer, remove the affected tissue.
Includes
- Medical Team
Specialized head and neck surgeons ensure a precise and safe intervention.
- Laboratory
Complete pre-surgical studies to evaluate thyroid function and the patient’s general health.
- Office
Imaging tests such as chest X-ray and thoraco-abdominal CT scan, which help plan the procedure and rule out damage to nearby areas.
- Preoperative evaluation by Internal Medicine + EKG
Detailed medical evaluation to confirm the patient’s suitability for surgery.
- Postoperative visits
Medical follow-up after surgery to monitor recovery and adjust additional treatments, if necessary.
- Pathology study
Analysis of the removed tissue to determine the cause and characteristics of the disease, such as the presence of malignant cells or inflammatory changes.
Preparing for surgery
For total or subtotal thyroidectomy, your medical team may recommend:
- Fasting for at least 8 hours before surgery.
- Suspension of certain medications, such as anticoagulants or supplements, under medical advice.
- Specific prior studies, such as thyroid function tests, ultrasounds and biopsies, to plan the scope of the surgery.
Recovery
Recovery varies depending on the extent of surgery and the patient’s individual condition. Recommendations include:
- Avoid strenuous physical activity for at least 2 to 4 weeks to allow for proper healing.
- Take care of the surgical wound, keeping it clean and dry to prevent infection.
- Take hormone replacement medications, such as levothyroxine, if a total thyroidectomy is performed.
- Monitor symptoms such as fever or swelling, which could indicate complications.
Most patients can resume light activities within a week, but should avoid significant physical exertion until recovery is complete.
Risks and Complications
Although thyroidectomy is a safe procedure, some risks may occur, such as:
- Infection at the surgical site, treatable with antibiotics.
- Voice changes, due to possible damage to the laryngeal nerves.
- Temporary or permanent hypocalcemia, caused by involvement of the parathyroid glands.
- Bleeding or fluid accumulation in the treated area, although this is rare.
Frequently Asked Questions
The procedure is performed under general anesthesia, so there is no pain during surgery. Afterward, there may be mild discomfort in the neck, which is usually controlled with painkillers.
Initial recovery may be complete in 2 weeks, while full internal healing may take 4 to 6 weeks.
In a total thyroidectomy, lifelong hormone replacement therapy is required. In a subtotal thyroidectomy, the need for medication depends on the amount of thyroid tissue remaining and its functional capacity.
Pathology study determines whether there are malignant cells, inflammation or structural changes that explain the patient's symptoms.
The scar is small and is usually strategically placed in a natural crease of the neck. With time and proper care, it becomes barely visible.