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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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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...
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Patient Experiences of Symptoms and Coping Strategies in the Early Postoperative Phase Following Hemithyroidectomy: A Qualitative Interview Study.

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Updated: Jul 9, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Hemithyroidectomy, does the indication influence the outcome?

Ervin Beka1, Hanan Hanna2, Pia Olofsson3

  • 1Department of Surgery and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. ervin.beka@regionostergotland.se.

Langenbeck'S Archives of Surgery
|December 7, 2023
PubMed
Summary
This summary is machine-generated.

Diagnostic hemithyroidectomy for excluding malignancy is a safe procedure with lower rates of permanent recurrent laryngeal nerve paresis compared to surgery for compression symptoms. This finding reassures patients undergoing this diagnostic surgery.

Keywords:
ComplicationsHemithyroidectomyRegister studyThyroid gland

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Otolaryngology

Background:

  • Hemithyroidectomy is performed for compression symptoms or to diagnose suspicious nodules.
  • Diagnostic hemithyroidectomy may be extensive for patients without symptoms, often with benign outcomes.

Purpose of the Study:

  • To investigate complication rates of diagnostic hemithyroidectomy.
  • To compare these rates with hemithyroidectomies for compressive symptoms.

Main Methods:

  • Analysis of 9677 hemithyroidectomies from a Scandinavian quality register (SQRTPA).
  • Complications analyzed: bleeding, wound infection, recurrent laryngeal nerve (RLN) paresis.
  • Risk factors assessed using univariable and multivariable logistic regression.

Main Results:

  • Totally excised thyroid weight was a risk factor for bleeding.
  • Permanent RLN paresis (6-12 months) was less frequent in the malignancy exclusion group (p=0.03).

Conclusions:

  • Hemithyroidectomy indications (malignancy exclusion vs. compression) influence complication rates.
  • Diagnostic hemithyroidectomy shows a lower risk of permanent RLN paresis.
  • The procedure is considered safe for diagnostic purposes, without undue risk.