Technique of Thyroidectomy

Thyroidectomy is the most frequent intervention in endocrine surgery. When performed in specialized centers, the operation is safe with low morbidity and a virtually 0% mortality. Complications of thyroid surgery are directly correlated to the extent of resection and inversely proportional to the experience of the operating surgeon. Thus, the cornerstones of safe and effective thyroid surgery are an adequate training, the understanding of the anatomy and pathology, as well as a meticulous dissection technique. The dissection must be based on a sound knowledge of three-dimensional topographic anatomy, typical landmarks, and possible anatomic variations. The meticulous dissection technique is achieved by a proper exposure of all fine anatomic structures in a bloodless dry surgical field. The use of magnifying glasses (magnification 2.5–3.55×), bipolar coagulation, and fine titan clips or ligatures is highly recommended.