Getting Minimally-Invasive Thyroid Surgery

Minimally-invasive thyroid surgery is a short operation, which may or may not require an overnight hospital stay. Your healthcare team (your surgeon, anaesthetist and nurse) will explain what will happen before, during and after the procedure.

What to expect

Before the surgery

If you are suffering from hyperthyroidism (over-active thyroid), you may need to take (or continue to take) medications to control your hormone levels in the weeks before surgery. Surgery is safest if your thyroid hormone levels are normal at the time of the operation.

Sometime before surgery you will likely have blood tests, a chest x-ray and an electrocardiogram (ECG) test to ensure you are fit enough for surgery. At some hospitals you may be offered a pre-operative check of your vocal cords to check they are functioning correctly and assess whether there is any increased risk of harm to them during the operation.

If it’s determined that you need surgery, you will visit a surgeon who will explain how your minimally-invasive surgery will be performed, including where the incisions will be made. You may be having just one lobe of your thyroid removed (a lobectomy), almost all the thyroid removed (a sub-total/near total thyroidectomy) or the entire thyroid removed (total thyroidectomy).

Getting ready for surgery, you will be asked not to eat anything after the evening meal the day before your operation.

Your anaesthetist will explain how the anaesthetic will be given. You may only need a local anaesthetic, in which only your neck area is numbed. In this case, you will also get mild sedatives so that you will not feel anxious. With this type of anaesthetic, you will be able to communicate with the surgeon during the operation. If you have a general anaesthetic, you will be asleep during the operation.

During the surgery

An uncomplicated total thyroidectomy should take less than 2 hours to perform. If you are having a less extensive operation, it will be quicker. During the surgery, your surgeon may use the Nerve Integrity Monitoring (NIM®) System from Medtronic to help reduce the risk of nerve injury to the nerves controlling your voice.

After the surgery

When you awake from the anaesthesia, you will likely be in a special recovery area where the nurses can monitor you closely until you are fully awake. Small tubes going into your body will temporarily provide fluids until you can drink again, as well as drain any excess fluid from the incision area. These tubes will be removed the same day or the next day, depending on the extent of the operation and the speed of your recovery.

You will have some stitches where the incision was made. These will dissolve over a few weeks. Your neck and throat will be sore and stiff for a few days. You will be given pain medicine while you’re at the hospital and to take home with you. The pain will ease and stop within a few days.

You may notice some changes to your voice, which can happen if the nerves supplying your voice box (larynx) are damaged in any way during the operation. These changes should only last a few days. Using the Nerve Integrity Monitoring (NIM®) System from Medtronic helps surgeons reduce the risk of nerve injury during surgery. You may also have a laryngoscopic examination of your vocal cords to check they are functioning correctly.

Your healthcare team will be keen for you to get up and about soon after surgery – probably on the next day. You will be given exercises to help with the stiffness in your neck. You will also be given some leg and breathing exercises to make sure your circulation and lungs are working well and to help prevent any infections or blood clots after the operation.

You will probably be ready to go home one or two days after your operation.

Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.

Last updated: 22 Sep 2010

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