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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The iodine is then...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...

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Updated: Jun 5, 2026

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
07:45

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach

Published on: November 28, 2025

Surveillance and intervention after thyroid lobectomy.

Philip M Spanheimer1, Sonia L Sugg, Geeta Lal

  • 1Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, Iowa.

Annals of Surgical Oncology
|January 20, 2011
PubMed
Summary
This summary is machine-generated.

Most patients need ongoing care after thyroid lobectomy, with many requiring hormone replacement or further monitoring. Total thyroidectomy may be a more efficient management option for nodular thyroid disease.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thyroid Surgery

Background:

  • Thyroid lobectomy is a common procedure for nodular thyroid disease.
  • Patients often require continued medical care post-surgery.
  • Quantifying surveillance and intervention rates is crucial for patient management.

Purpose of the Study:

  • To quantify the rates of ongoing surveillance and intervention after thyroid lobectomy.
  • To evaluate resource utilization in patients treated with thyroid lobectomy.

Main Methods:

  • Retrospective review of 101 consecutive patients undergoing thyroid lobectomy for nodular disease.
  • Analysis of clinical data, follow-up information, and resource utilization.
  • Assessment of outcomes including need for hormone replacement, further procedures, and surveillance.

Main Results:

  • 19% of patients required completion thyroidectomy for cancer.
  • 42.2% of remaining patients needed thyroid hormone replacement.
  • Thyroiditis on pathology was significantly associated with hormone replacement (P < 0.001).
  • Only 27% of patients required no further surveillance or intervention.
  • No permanent recurrent laryngeal nerve injuries were reported.

Conclusions:

  • The majority of patients undergoing thyroid lobectomy require continued surveillance and intervention.
  • Total thyroidectomy presents a potentially more effective and efficient alternative for managing nodular thyroid disease due to high post-lobectomy care needs.
  • The low complication rate supports considering total thyroidectomy.