Methods of thyroidectomy: principles and indications
https://doi.org/10.14341/serg12741
Abstract
This lecture presents 3 methods of thyroidectomy; the most common and widely used thyroidectomy method, i.e. the extrafascial thyroidectomy method (1), the historical subcapsular thyroidectomy method (2) and the combined extrafascial and subfascial thyroidectomy methods (3). Each of these methods is used in everyday practice and have their own indications for use. The methods are presented with a detailed description of the steps. In the description of the technique of the operation, we determined the stages. The presented three methods of thyroidectomy are a systematization of the existing widely used surgical methods of operation for various diseases of the thyroid gland. In our opinion, this systematic step-by-step approach to thyroidectomy, taking into account the characteristics of thyroid pathology, can improve the standards of treatment, surgical outcomes and training of surgeons in the field of thyroid surgery.
About the Author
M. M. RashitovUzbekistan
Murodjon M. Rashitov, MD, PhD,
56, str. Mirso Ulugbek, 100125,Tashkent
References
1. Welbourn RB. The history of endocrine surgery. – Greenwood Publishing Group, 1990
2. Grant CS. Presidential address: boiling water to iodine — a story of unparalleled collaboration // Surgery. — 2002. — Т. 132. — № 6. — С. 909—915
3. Vellar IV, Thomas OD. Peel Dunhill: pioneer thyroid surgeon //Australian and New Zealand journal of surgery. — 1999. — Т. 69. — № 5. — С. 375–387.
4. Reeve TS. Thyroidectomy in the treatment of thyrotoxicosis. J. Coll. Radiol. Aust. 1964; 8: 98
5. Reeve TS, Hales IB, Thomas ID, et al. Thyroidectomy – a clinical evaluation of the results of 331 operations. Med. J. Aust. 1966; 1: 202
6. Nikolayev OV. Khirurgiya endokrinnoy sistemy. Moskva; 1952. 192 p. (In Russian).
7. Drachinskaja E.S. Khirurgiya shchitovidnoy zhelezy. Gosudarstvennoe izdatel’stvo meditsinskoy literatury; 1963. (in Russian)
8. Komissarenko I.V., Rybakov S.I. et al. [Klassifikatsiya operatsiy na shchitovidnoy zheleze]. Kiev; 2010. (in Russian)
9. Reeve TS, Delbridge L, Brady P, et al. Secondary thyroidectomy: a twenty-year experience. World journal of surgery. 1988; 12, 449–452. doi: https://doi.org/10.1007/BF01655417
10. Dominello A, Guinea A, Reeve TS, et al. Progressive increase in thyroid dysfunction after subtotal thyroidectomy for Graves’ disease. Asian Journal of Surgery. 2000; 23(2), 131–138. doi: https://doi.org/10.1007/s101160050021
11. Delbridge L, Reeve TS, Khadra M, Poole AG. Total thyroidectomy: the technique of capsular dissection. Aust N Z J Surg. 1992; 62(2):96–99. doi: https://doi.org/10.1111/j.1445-2197.1992.tb00004.x
12. Bliss RD, Gauger PG, Delbridge LW. Surgeon’s approach to the thyroid gland: surgical anatomy and the importance of technique. World J Surg. 2000; 24(8):891-897. doi: https://doi.org/10.1007/s002680010173
13. Lo CY. Parathyroid autotransplantation during thyroidectomy. ANZ J Surg. 2002; 72(12):902-907. doi: https://doi.org/10.1046/j.1445-2197.2002.02580.x
14. Zedenius J, Wadstrom C, Delbridge L. Routine autotransplantation of at least one parathyroid gland during total thyroidectomy may reduce permanent hypoparathyroidism to zero. Aust N Z J Surg. 1999; 69(11):794-797. doi: https://doi.org/10.1046/j.1440-1622.1999.01697.x
15. Khadra M, Delbridge L, Reeve TS, et al. Total thyroidectomy: its role in the management of thyroid disease. Aust N Z J Surg. 1992; 62(2):91-95. doi: https://doi.org/10.1111/j.1445-2197.1992.tb00003.x
16. Younes N, Robinson B, Delbridge L. The aetiology, investigation and management of surgical disorders of the thyroid gland. Aust N Z J Surg. 1996; 66(7):481-490. doi: https://doi.org/10.1111/j.1445-2197.1996.tb00787.x
17. Scaroni M, von Holzen U, Nebiker CA. Effectiveness of hemostatic agents in thyroid surgery for the prevention of postoperative bleeding. Sci Rep. 2020; 10(1):1753. doi: https://doi.org/10.1038/s41598-020-58666-4
18. Materazzi G, Ambrosini CE, Fregoli L, et al. Prevention and management of bleeding in thyroid surgery. Gland Surg. 2017; 6(5):510-515. doi: https://doi.org/10.21037/gs.2017.06.14
19. Hannan SA. The magnificent seven: a history of modern thyroid surgery. Int J Surg. 2006; 4(3):187-191. doi: https://doi.org/10.1016/j.ijsu.2006.03.002
20. Sun H, Wang X, Zheng G, et al. Comparison Between Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) and Conventional Open Thyroidectomy for Patients Undergoing Total Thyroidectomy and Central Neck Dissection: A Propensity Score-Matching Analysis. Front Oncol. 2022; 12:856021. doi: https://doi.org/10.3389/fonc.2022.856021
21. Jasaitis K, Midlenko A, Bekenova A, et al. Transaxillary gasless endoscopic thyroidectomy versus conventional open thyroidectomy: systematic review and metaanalysis. Wideochir Inne Tech Maloinwazyjne. 2021; 16(3):482-490. doi: https://doi.org/10.5114/wiitm.2021.105722
22. Choi Y, Lee JH, Kim YH, et al. Impact of postthyroidectomy scar on the quality of life of thyroid cancer patients. Ann Dermatol. 2014; 26(6):693-699. doi: https://doi.org/10.5021/ad.2014.26.6.693
23. Sleptsov I, Chernikov R, Pushkaruk A, et al. Tension-free thyroidectomy (TFT): initial report. Updates Surg. 2022; 74(6):1953-1960. doi: https://doi.org/10.1007/s13304-022-01338-x
24. Kocher T. Uber Kropfextirpation und ihre Folgen. Arch Klin Chir. 1883; 29:254–337
25. Halsted WS. The operative history of goiter. The author’s operation. Hosp Rep. 1920; 74(10):693–694
26. Lahey FH. Routine dissection and demonstration of recurrent laryngeal nerve in subtotal thyroidectomy. Surg Gynecol Obstet. 1938; 66:775–777
27. Vel’yaminov NA. Diseases of the thyroid gland and their surgical treatment. St. Petersburg; 1910. 87 p. (In Russian)
28. Nikolayev OV. To subtotal resection of the thyroid gland. Khirurgiya. 1951; 1:37-50 (In Russian)
29. Becker WF. Presidential address: Pioneers in thyroid surgery. Ann Surg. 1977; 185(5):493-504. doi: https://doi.org/10.1097/00000658-197705000-00001
30. Paches A.I. Head and neck tumors. Clinical manual. Moscow: Prakticheskaya meditsina, 2013. 478 p. (In Russian)
31. Romanchyshen AF, Bagaturiya GO, Karpatsky IV. Features of mobilization of the thyroid gland taking into account the topography of its connective tissue fixation elements. Bulletin of surgery I.I. Grekova. 2009; 6: 49-55 (In Russian)
32. Ismailov SI, Alimjanov NA, Babakhanov BK, et al. Long-term results after total thyroidectomy in patients with Grave’s disease in Uzbekistan: retrospective study. World J Endocr Surg. 2011; 3(2):79–82. doi: https://doi.org/10.5005/jp-journals-10002-1062
33. Dralle H, Musholt TJ, Schabram J, et al. German association of endocrine surgeons practice guideline for the surgical management of malignant thyroid tumors. Langenbecks Arch Surg. 2013; 398(3):347–375. doi: https://doi.org/10.1007/s00423-013-1057-6
34. Haugen BR, Alexander EK, Bible KC, et al. 2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer. Thyroid. 2016; 26(1):1–133. doi: https://doi.org/10.1089/thy.2015.0020
35. Sulibhavi A, Rubin SJ, Park J, et al. Preventative and management strategies of hypocalcemia after thyroidectomy among surgeons: an international survey study. Am J Otolaryngol. 2020; 41(3):102394. doi: https://doi.org/10.1016/j.amjoto.2020.102394
36. Shaha AR. Revision thyroid surgery — technical considerations. Otolaryngol Clin North Am. 2008; 41(6):1169-x. doi: https://doi.org/10.1016/j.otc.2008.05.002
37. Wilhelm SM, McHenry CR. Total thyroidectomy is superior to subtotal thyroidectomy for management of Graves’ disease in the United States. World J Surg. 2010; 34(6):1261-1264. doi: https://doi.org/10.1007/s00268-009-0337-3
38. Romanchyshen AF i Romanchyshen FA. Khirurgicheskaya profilactika povrejdeniy vozvratnih gortannih nervov pri operatsiyah po povodu zabolevaniy shitovidnoy zjelezi. Bulletin of surgery I.I. Grekova. — 2007, 6: 49-55 (In Russian)
39. Belokonev VI, Starostina AA, Kovaleva ZV, et al. Texnika tireoidektomii-osnova uluchsheniya rezul’tatov lecheniya bol’nix s dobrokachestvennimi zabolevaniyami shitovidnoy jelezi. Mat. 25 Rossiyskogo simpoziuma. Samara, Sovremennie aspekti xirurgicheskoy endokrinologii. 2015:70-76. (In Russian)
40. Randolph GW. Surgery of the Thyroid and Parathyroid Glands E-Book. Elsevier Health Sciences; 2020.
41. Sinclair IS. The risk to the recurrent laryngeal nerves in thyroid and parathyroid surgery. J R Coll Surg Edinb. 1994; 39(4):253-257
42. Tsang RW, Brierley JD, Simpson WJ, et al. The effects of surgery, radioiodine, and external radiation therapy on the clinical outcome of patients with differentiated thyroid carcinoma. Cancer. 1998; 82(2):375–388
43. Topograficheskaya anatomiya i operativnaya xirurgiya: uchebnik / Nikolaev A.V. — 3-e izd., ispr. i dop. — M.: GEOTAR-Media, 2016.—736s.:sv. il.-ISBN978-5-9704-3848-0. http://www.studentlibrary.ru/book/ISBN9785970438480.html (In Russian)
Supplementary files
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1. Рисунок 1. Топографо-анатомические особенности щитовидной железы. | |
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2. Рисунок 2. Стандартизированный пошаговый метод тиреоидэктомии. | |
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Type | Исследовательские инструменты | |
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Review
For citations:
Rashitov M.M. Methods of thyroidectomy: principles and indications. Endocrine Surgery. 2023;17(4):4-12. (In Russ.) https://doi.org/10.14341/serg12741

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