DOI: https://doi.org/10.36347/sasjs.2026.v12i09.003

Pages: 750-756

Background: Thyroid disorders are increasingly detected through advances in screening and imaging. Thyroidectomy remains an important treatment for selected benign and malignant conditions, with outcomes influenced by disease extent, comorbidities, and surgical approach. This study aimed to evaluate the clinical and surgical outcomes, postoperative complications, and recovery of patients undergoing thyroidectomy. Methods: This prospective observational study included 35 patients undergoing thyroidectomy at Narsingdi Sadar Hospital, Bangladesh, from January to December 2025. Clinical, radiological, cytological, operative, and histopathological findings were assessed. Surgical outcomes included operative time, blood loss, hospital stay, postoperative pain, complications, calcium levels, and recovery. Data were analyzed using descriptive statistics, with ethical approval and informed consent obtained. Results: Among 35 patients, the mean age was 42.6 ± 11.8 years and 80.0% were female. Multinodular goiter was the commonest preoperative diagnosis, and 68.6% underwent total thyroidectomy. Histopathology showed benign disease in 71.4% and malignancy in 28.6%, predominantly papillary carcinoma. Mean hospital stay was 2.7 ± 1.1 days, with 77.1% discharged within 3 days. Postoperative complications occurred in 22.9%, mainly transient hypocalcemia and temporary hoarseness. No permanent hypocalcemia, recurrent laryngeal nerve palsy, or reoperation was required. Overall, 91.4% achieved excellent or good outcomes at follow-up. Conclusion: Thyroidectomy demonstrated favorable clinical and surgical outcomes, with most patients achieving excellent or good recovery and relatively low postoperative morbidity. Transient hypocalcemia and temporary voice changes were the main complications, with no permanent major complications or reoperations. Careful patient selection, meticulous surgical technique, and appropriate postoperative monitoring can further improve outcomes.