Thyroid surgery in patients with uncontrolled hyperthyroidism: Perspectives from endocrinologists
10.3760/cma.j.cn311282-20240729-00332
- VernacularTitle:甲状腺功能亢进未经控制而进行甲状腺手术的可行性——内分泌医生的观点
- Author:
Jiashu LI
1
;
Zhongyan SHAN
1
Author Information
1. 中国医科大学附属第一医院内分泌与代谢病科，国家卫生健康委甲状腺疾病诊治重点实验室（共建），沈阳 110001
- Publication Type:Journal Article
- Keywords:
Hyperthyroidism;
Thyroidectomy;
Euthyroid state;
Perioperative management;
Safety
- From:
Chinese Journal of Endocrinology and Metabolism
2025;41(3):198-200
- CountryChina
- Language:Chinese
-
Abstract:
Hyperthyroidism is a prevalent endocrine disorder commonly managed with antithyroid medications, radioactive iodine, or surgical intervention. Conventionally, thyroidectomy is performed only after achieving a euthyroid state to minimize intraoperative and postoperative complications. However, emerging evidence suggests that, under specific conditions, thyroidectomy may be safely conducted even in the absence of complete preoperative disease controlled. This review provides an expert endocrinologist′s perspective on the safety and feasibility of thyroid surgery in patients with uncontrolled hyperthyroidism, examines various preoperative optimization strategies, and underscores the critical role of perioperative management in ensuring optimal surgical outcomes.
