Thyroidectomy

Thyroid surgery, or thyroidectomy, involves removing all or part of the thyroid gland under general anesthesia. It is typically performed as an outpatient procedure, with patients discharged the same day. Common indications include thyroid cancer, overactive thyroid disorders like Graves' disease, potentially cancerous nodules, or large compressive goiters.

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Surgical Options

At American Endocrine, patients can choose between:

1. Conventional open thyroid surgery
2. Scarless robotic thyroid surgery

Dr. Hyunsuk Suh has pioneered scarless robotic surgery in the US over the past decade, utilizing emerging robotic technology. The robotic approach offers several advantages:

• Greater precision
• Lower complication rates
• Reduced scarring and adhesions
• Enhanced quality of life
• Potentially shorter recovery time for advanced cancer surgeries

Three scarless robotic approaches are available:

1. Trans-axillary approach
2. Bilateral axillo-breast approach (BABA)
3. Transoral approach

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BABA Robotic Approach

The bilateral approach is considered a significant advancement in minimally invasive thyroid surgery due to:

• Ideal biomechanics
• Superb visualization
• Excellent working space and maneuverability
• Maximized utilization of robotic technology for precise cancer tissue dissection
• Preservation of critical structures like voice nerves and parathyroid glands

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Transaxillary SP Robotic Approach

This approach uses the latest single port (SP) robotic system through a single incision in the armpit skin creases. It is suitable for most partial thyroid surgeries and selected total thyroid resections, offering excellent cosmetic results and precise operation.

To learn more about robotic surgery, visit our dedicated page here.

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Thyroid Cancer Treatment

Thyroid cancer can often be cured by resecting the part of the thyroid containing the cancer. Key principles include:

1. Matching the extent of surgical resection to cancer aggressiveness
2. Minimizing the risk of cancer recurrence
3. Involving the patient in decision-making

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Prevalence and Statistics

Thyroid nodules are common, affecting over 20% of individuals, with higher prevalence in women and older populations9. For 2024, the American Cancer Society estimates:

• 44,020 new cases of thyroid cancer (12,500 in men, 31,520 in women)
• Approximately 2,170 deaths from thyroid cancer
• Average age at diagnosis: 51 years

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Risks and Complications

Thyroid surgery complications are generally low and often temporary:

1. Voice nerve injury (usually temporary)
2. Parathyroid gland injury leading to hypoparathyroidism
3. Bleeding (rare but potentially life-threatening)

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Preparation and Recovery

Thyroidectomy typically involves:

• Same-day discharge
• Pain management with narcotics and OTC anti-inflammatories
• Avoiding strenuous activity for 1-2 weeks
• Consuming soft, soothing foods during throat healing

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Aftercare and Ongoing Support

Comprehensive aftercare includes:

• Managing immediate post-surgical issues
• Monitoring thyroid hormone balance
• Following up on pathology results
• Discussing further treatment plans for cancer patients

American Endocrine provides expert surgical care, including advanced robotic techniques, and personalized aftercare support to optimize patient outcomes.