Overview
Partial thyroid lobectomy is a surgical procedure that involves removing a portion of one lobe of the thyroid gland. It is typically performed to treat small thyroid nodules, localized thyroid cancer, or other conditions that affect only part of the thyroid gland. By removing just the affected portion, this procedure preserves much of the gland's function, potentially reducing the need for lifelong hormone replacement therapy.
Unfortunately, for safety reasons, this is not usually the best option for most patients with a thyroid nodule. We are happy to discuss this with you during your consultation, and we are delighted when a patient is a good candidate for removal of only a small portion of a thyroid lobe.
Procedure
During a partial thyroid lobectomy, the surgeon makes a small incision in the front of the neck to access the thyroid gland. The affected portion of the thyroid lobe is carefully separated from surrounding tissues and removed. The remaining part of the thyroid is left intact. This procedure is usually performed under general anesthesia and typically takes about one to two hours, depending on the complexity of the case. Partial removal of a thyroid gland can usually be done without a scar by Dr Jon Russell.
Benefits and Risks
The main risks of a partial thyroid lobectomy are typically about the same as with normal thyroid surgery, but there is a somewhat higher risk of bleeding or swelling afterward. Additionally, there are risks which include potential damage to nearby structures such as the recurrent laryngeal nerve, which could affect vocal cord function, and the parathyroid glands, which regulate calcium levels. Your surgeon will thoroughly explain these risks to ensure you are fully informed before the procedure.
Recovery and Follow-Up
Recovery from a partial thyroid lobectomy is generally quicker than full thyroid removal, with most patients returning to normal activities within a week. Mild pain and swelling in the neck area are common and can be managed with pain medications. Follow-up appointments are important to monitor thyroid function and ensure the remaining gland is working properly. In some cases, additional treatment may be necessary depending on the final pathology results.
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