Thyroidectomy - Types of Thyroidectomy

Types of Thyroidectomy

  1. Hemithyroidectomy - entire isthmus is removed along with 1 lobe. Done in benign diseases of only 1 lobe.
  2. Subtotal thyroidectomy - done in toxic thyroid. primary or secondary and also for toxic MNG
  3. Partial thyroidectomy - removal of gland in front of trachea after mobilization. It is done in nontoxic MNG. role is controversial.
  4. Near total thyroidectomy - Both lobes are removed except for a small amount of thyroid tissue (on one or both sides) in the vicinity of the recurrent laryngeal nerve entry point and the superior parathyroid gland; done in papillary thyroid carcinoma
  5. Total thyroidectomy- Entire gland is removed. Done in case of follicular carcinoma of thyroid, medullary ca of thyroid.
  6. Hartley Dunhill operation- removal of 1 entire lateral lobe with isthmus and partial/subtotal removal of opposite lateral lobe. It is done in nontoxic MNG.

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