THYROIDECTOMY (HEMITHYROIDECTOMY/LOBECTOMY)
Indication: Indeterminate thyroid nodule (follicular neoplasm/FLUS on FNA), unilateral benign nodule causing symptoms, solitary toxic adenoma, or diagnostic lobectomy when molecular testing is unavailable or inconclusive. Completion thyroidectomy may be required if final histology reveals malignancy.
Patient Position: Supine, neck extended.
Anaesthesia: General with RLN nerve monitoring.
Incision: Transverse Kocher skin crease incision.
Procedure:
1. Skin incision, platysma divided. Subplatysmal flaps raised.
2. Midline fascia divided. Strap muscles retracted.