UNIVERSIDAD DE MANILA
(Formerly City College of Manila)
Mehan Gardens, Manila
College of Nursing
“ Thyroid Lobectomy”
Submitted by:
Mae Anne A. Anggo
NR-31
Submitted to:
Ma. Kathleen F. Balingit RN, MAN
Thyroid Lobectomy is an operation to remove one half (a lobe) of the thyroid gland. This simply means removal of a thyroid lobe and the isthmus (the part that connects the 2 lobes). This removes more thyroid tissue than a simple lobectomy, and is used when a larger margin of tissue is needed to assure that the "problem" has been removed. Appropriate for those indications listed under thyroid lobectomy as well as for Hurthle cell tumors, and some very small and non-aggressive thyroid cancers.
Operative time: usually 45 minutes to 1 hour.
Anesthesia: General anesthesia is used.
Hospital stay: usually day surgery
Indications:
-Thyroid cancer (non-aggressive cancer)
-Goiter (an overall enlargement, unilateral non toxic goiter/ isolated to one lobe)
-Hyperthyroidism (the production of too much hormone)
-Thyroid Nodules (a localized enlargement, are growth of cells in the thyroid gland)
Laboratory and Diagnostic exam -Physical assessment- The physical examination includes checking the thyroid gland for possible enlargement (commonly called a goiter), its adjacent lymph nodes for any pain, tenderness and swelling, and the nodule itself for consistency, size and texture. If the nodule is soft, smooth and mobile, chances are the nodule is benign. If the nodule is firm, hard, irregular and fixed, the nodule may be malignant
-Serum Ca and PH level
-CT scan- to help detect and diagnose a goiter, or larger thyroid nodules.
-Serum PTH- It is ordered to help diagnose the reason for a low or high calcium level and to help distinguish between parathyroid-related and non-parathyroid-related causes. It may also be ordered to monitor the effectiveness of treatment when a patient has a parathyroid-related condition. A