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Intermediate Technical IVT

thyroid lobectomy

Surgical removal of one lobe of the thyroid gland, preserving the other lobe and isthmus.

Full Definition

Thyroid lobectomy involves the complete removal of one thyroid lobe while preserving the contralateral lobe and connecting isthmus. This procedure is typically performed for benign nodules, follicular neoplasms with indeterminate cytology, or well-differentiated thyroid cancers confined to one lobe. The procedure aims to maintain thyroid function while addressing the pathologic condition. Post-operative thyroid function monitoring is essential as some patients may develop hypothyroidism requiring hormone replacement therapy.

Usage

Usage note: Distinguish from hemithyroidectomy, which includes isthmus removal.

In Context

  • "The pathology report following thyroid lobectomy revealed a 2.5 cm follicular adenoma with no evidence of capsular invasion." — surgical pathology report
  • "Given the indeterminate cytology on fine needle aspiration, the patient underwent thyroid lobectomy for definitive histologic diagnosis." — operative note

Also known as

unilateral thyroidectomy hemilobectomy

Contrasted with

total thyroidectomy bilateral lobectomy

Don't confuse with

hemithyroidectomy isthmusectomy

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