{"key":"op_669_RO","page":{"url":"https://jp.bookimed.com/clinics/country=romania/procedure=thyroidectomy/","procedure":{"id":669,"slug":"thyroidectomy","name":"甲状腺摘出術","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"endocrinology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":116,"iso":"RO","name":"ルーマニア"},"currency":"USD","data_date":"2025-03-31"},"pages":{"clinics_url":"https://jp.bookimed.com/clinics/country=romania/procedure=thyroidectomy/","cost_url":"https://jp.bookimed.com/clinics/country=romania/procedure=thyroidectomy/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":2300,"to":3900,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":14000,"to":26000},"uk":{"from":10500,"to":16500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"ブカレスト","from":2300}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":1500,"to":3000},{"country_iso":"FR","from":5200,"to":8800},{"country_iso":"GB","from":10500,"to":16500},{"country_iso":"US","from":14000,"to":26000},{"country_iso":"IL","from":16000,"to":25000},{"country_iso":"TR","from":2400,"to":8500},{"country_iso":"MX","from":10000,"to":15000},{"country_iso":"DE","from":16700,"to":24000},{"country_iso":"CA","from":12500,"to":19500},{"country_iso":"AE","from":6500,"to":11500},{"country_iso":"TH","from":3500,"to":6500},{"country_iso":"PL","from":3300,"to":4000},{"country_iso":"KR","from":6000,"to":7000},{"country_iso":"CZ","from":6000,"to":7500},{"country_iso":"AT","from":7800,"to":11500},{"country_iso":"ES","from":6600,"to":11200},{"country_iso":"IT","from":7000,"to":9500},{"country_iso":"CN","from":3500,"to":8200},{"country_iso":"AU","from":11500,"to":17500},{"country_iso":"IN","from":2200,"to":3000},{"country_iso":"MY","from":3500,"to":4800},{"country_iso":"VN","from":2800,"to":4300},{"country_iso":"BR","from":5200,"to":7800},{"country_iso":"AZ","from":5500,"to":8000},{"country_iso":"GR","from":4500,"to":6800},{"country_iso":"HU","from":3200,"to":4600},{"country_iso":"LT","from":2800,"to":3800}],"base_country":"US","base_is_fallback":false},"savings":{"pct":84,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":6339,"name":"Ponderas Academic Hospital","city":"Bucharest","rating":5,"reviews_count":5,"accreditations":["Bariatric Surgery Center of Excellence","Joint Commission International","Surgical Review Corporation","Robotic Surgery Center of Exellence","Colorectal Surgery Center for Excellence"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2508,"slug":"bucharest","name":"ブカレスト","clinics_count":1,"price_from":2300,"profile":{"city_type":"Capital and largest city of Romania","access":["Henri Coandă Airport (OTP), 17 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Bucharest","https://en.wikipedia.org/wiki/Henri_Coandă_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Suspicious or malignant thyroid nodule (e.g., thyroid cancer)","Large goiter causing breathing or swallowing difficulty","Substernal goiter","Graves' disease unresponsive to or unsuitable for antithyroid drugs/radioiodine","Toxic nodular goiter or toxic adenoma","Indeterminate nodule on fine-needle aspiration"],"contraindications":["Severe uncontrolled cardiopulmonary disease precluding general anesthesia (relative)","Uncorrected thyrotoxicosis","Uncorrected bleeding disorder or unmanageable anticoagulation","Pregnancy (elective surgery usually deferred)","Active neck infection at the surgical site"],"operation_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for an uncomplicated standard open total thyroidectomy; hemithyroidectomy is usually shorter."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for standard thyroidectomy."},"stages":[{"code":"thyroidectomy","label":"Thyroidectomy (total or hemithyroidectomy) under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage procedure; completion thyroidectomy is a separate surgery only if pathology requires it."},"hospital_nights":{"value":{"min":0,"max":2,"unit":"nights","qualifier":"0 nights after same-day hemithyroidectomy; 1-2 nights typical after total thyroidectomy."},"source":"parsed_details"},"treatment_conditions":["inpatient","day_case"],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities after uncomplicated thyroidectomy; no formal rehabilitation program usually needed."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After surgeon clearance of the wound, voice and calcium levels; longer if hematoma, low calcium or other complications occur."},"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Office-based work after uncomplicated total or hemithyroidectomy via a standard open cervical incision; physically demanding work may take longer."},"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity such as walking earlier; strenuous exercise and heavy lifting after surgeon clearance following uncomplicated recovery."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Scar maturation and stable hormone replacement dosing after total thyroidectomy; the surgical removal itself is immediate."},"result_longevity":"The removed thyroid tissue does not regrow; after total thyroidectomy, hypothyroidism is permanent and requires lifelong hormone replacement. Durability after partial removal depends on the underlying condition and the chance of recurrence in remaining tissue.","main_risks":["Temporary or permanent hypoparathyroidism with low calcium","Recurrent laryngeal nerve injury causing hoarseness or voice changes","Neck hematoma requiring urgent reoperation","Wound infection or seroma","Superior laryngeal nerve injury: voice fatigue, reduced pitch range","Hypertrophic scar or keloid","Anesthesia-related risks","Thyroid storm in inadequately prepared hyperthyroid patients (rare)"],"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication incl. transient low calcium within 90 days; permanent nerve injury or hypoparathyroidism about 1-5%."},"revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Return to theatre for hematoma or completion surgery within 12 months; hematoma alone about 1-2%."},"success":{"metric":"Disease-specific survival","value":95,"horizon":"10 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Typically a single horizontal low-neck incision about 4-8 cm along a skin crease, fading over 6-12 months; remote-access or endoscopic approaches may avoid a neck scar but are less common.","pain":"Mild to moderate neck soreness and sore throat from intubation for several days, usually controlled with oral analgesics; swallowing discomfort and neck stiffness may last 1-2 weeks.","preparation":["Thyroid function tests and calcium/vitamin D assessment","Neck ultrasound and cytology review","Laryngoscopy to document vocal cord function when indicated","Control hyperthyroidism before surgery if present","Standard preoperative anesthesia assessment and blood tests","Fasting before anesthesia per team instructions","Review medications and anticoagulants with surgeon and anesthetist"],"recovery_timeline":[{"phase":"Day 0-1","description":"Hospital observation for bleeding, breathing, voice and calcium; early walking and eating.","restrictions":["No driving"]},{"phase":"Days 2-14","description":"Home recovery; soreness, swelling and fatigue improve. Incision care; start thyroid hormone and calcium if prescribed.","restrictions":["Avoid heavy lifting and strenuous activity","Avoid strain on the neck incision"]},{"phase":"Weeks 2-6","description":"Return to normal activities and exercise; pathology review and hormone dose adjustment.","restrictions":["Avoid heavy lifting until surgeon clears"]},{"phase":"Months 3-12","description":"Scar matures and fades; thyroid hormone dose stabilizes.","restrictions":["Protect scar from sun exposure"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound review and pathology discussion, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of final pathology, calcium/PTH and start or adjustment of thyroid hormone therapy, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Thyroid hormone level check after dose initiation, counted from surgery."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how much of the thyroid gland will be removed","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"How much of my thyroid gland needs to be removed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether thyroid hormone replacement will be needed after the procedure","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"Will I need thyroid hormone replacement therapy after the procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm how aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Being asked to pay for a hospital you have never seen","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay for a hospital you have never seen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Offer with no two consultations with the surgeon before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive bleeding that blocks your airway","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Excessive bleeding that blocks your airway and makes it hard to breathe","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Swelling, bleeding or oozing pus at the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Swelling, bleeding or oozing pus at the incision site","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Numbness or tingling in face, hands or lips","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Numbness or tingling in your face, hands or lips","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever of 101 degrees Fahrenheit or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees Fahrenheit (38 degrees Celsius) or higher","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Calcium tablets may run for weeks after total removal; home doctor follows them","document":"calcium supplement prescription","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"If your entire thyroid is removed, your surgeon will likely prescribe oral calcium supplements for several weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Written instructions let the home doctor continue wound care","document":"written incision care instructions","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"Before you go home, your provider will give you instructions on how to care for your incision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Office-based work after uncomplicated total or hemithyroidectomy via a standard open cervical incision; physically demanding work may take longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication incl. transient low calcium within 90 days; permanent nerve injury or hypoparathyroidism about 1-5%."},"contraindications":["Severe uncontrolled cardiopulmonary disease precluding general anesthesia (relative)","Uncorrected thyrotoxicosis","Uncorrected bleeding disorder or unmanageable anticoagulation","Pregnancy (elective surgery usually deferred)","Active neck infection at the surgical site"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"0 nights after same-day hemithyroidectomy; 1-2 nights typical after total thyroidectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity such as walking earlier; strenuous exercise and heavy lifting after surgeon clearance following uncomplicated recovery."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Scar maturation and stable hormone replacement dosing after total thyroidectomy; the surgical removal itself is immediate."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After surgeon clearance of the wound, voice and calcium levels; longer if hematoma, low calcium or other complications occur."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound review and pathology discussion, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of final pathology, calcium/PTH and start or adjustment of thyroid hormone therapy, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Thyroid hormone level check after dose initiation, counted from surgery."}}],"indications":["Suspicious or malignant thyroid nodule (e.g., thyroid cancer)","Large goiter causing breathing or swallowing difficulty","Substernal goiter","Graves' disease unresponsive to or unsuitable for antithyroid drugs/radioiodine","Toxic nodular goiter or toxic adenoma","Indeterminate nodule on fine-needle aspiration"],"main_risks":["Temporary or permanent hypoparathyroidism with low calcium","Recurrent laryngeal nerve injury causing hoarseness or voice changes","Neck hematoma requiring urgent reoperation","Wound infection or seroma","Superior laryngeal nerve injury: voice fatigue, reduced pitch range","Hypertrophic scar or keloid","Anesthesia-related risks","Thyroid storm in inadequately prepared hyperthyroid patients (rare)"],"pain":"Mild to moderate neck soreness and sore throat from intubation for several days, usually controlled with oral analgesics; swallowing discomfort and neck stiffness may last 1-2 weeks.","preparation":["Thyroid function tests and calcium/vitamin D assessment","Neck ultrasound and cytology review","Laryngoscopy to document vocal cord function when indicated","Control hyperthyroidism before surgery if present","Standard preoperative anesthesia assessment and blood tests","Fasting before anesthesia per team instructions","Review medications and anticoagulants with surgeon and anesthetist"],"recovery_timeline":[{"phase":"Day 0-1","description":"Hospital observation for bleeding, breathing, voice and calcium; early walking and eating.","restrictions":["No driving"]},{"phase":"Days 2-14","description":"Home recovery; soreness, swelling and fatigue improve. Incision care; start thyroid hormone and calcium if prescribed.","restrictions":["Avoid heavy lifting and strenuous activity","Avoid strain on the neck incision"]},{"phase":"Weeks 2-6","description":"Return to normal activities and exercise; pathology review and hormone dose adjustment.","restrictions":["Avoid heavy lifting until surgeon clears"]},{"phase":"Months 3-12","description":"Scar matures and fades; thyroid hormone dose stabilizes.","restrictions":["Protect scar from sun exposure"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities after uncomplicated thyroidectomy; no formal rehabilitation program usually needed."},"result_longevity":"The removed thyroid tissue does not regrow; after total thyroidectomy, hypothyroidism is permanent and requires lifelong hormone replacement. Durability after partial removal depends on the underlying condition and the chance of recurrence in remaining tissue.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Return to theatre for hematoma or completion surgery within 12 months; hematoma alone about 1-2%."},"scars":"Typically a single horizontal low-neck incision about 4-8 cm along a skin crease, fading over 6-12 months; remote-access or endoscopic approaches may avoid a neck scar but are less common.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for standard thyroidectomy."},"stages":[{"code":"thyroidectomy","label":"Thyroidectomy (total or hemithyroidectomy) under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage procedure; completion thyroidectomy is a separate surgery only if pathology requires it."},"success":{"metric":"Disease-specific survival","value":95,"unit":"percent","horizon":"10 years","population":"Adults with differentiated thyroid cancer","evidence_status":"limited"},"techniques":[{"name":"Conventional open total thyroidectomy","suits_whom":"Thyroid cancer, bilateral goiter, Graves' disease.","recovery":"Overnight stay typical; return to desk work in about 1-2 weeks; lifelong thyroid hormone replacement."},{"name":"Hemithyroidectomy (lobectomy)","suits_whom":"Single indeterminate nodule, unilateral benign disease, selected low-risk cancer.","recovery":"Often same-day or one-night stay; return to work in about 1 week; hormone replacement needed only in some patients."},{"name":"Minimally invasive or remote-access (transoral, axillary, robotic) thyroidectomy","suits_whom":"Selected patients with small nodules and low-risk disease treated in experienced centers.","recovery":"Similar overall recovery; avoids a neck scar but is less widely available."}],"treatment_conditions":["inpatient","day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for an uncomplicated standard open total thyroidectomy; hemithyroidectomy is usually shorter."},"initial_assessment_documents":["Neck ultrasound report","Fine-needle aspiration biopsy report","Thyroid function blood tests","Calcium and PTH results","Neck CT or MRI report (if available)","Laryngoscopy or vocal cord assessment (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days including 1-2 nights in hospital. Follow-up bloodwork and hormone adjustment done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how much of the thyroid gland will be removed","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"How much of my thyroid gland needs to be removed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether thyroid hormone replacement will be needed after the procedure","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"Will I need thyroid hormone replacement therapy after the procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm how aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Being asked to pay for a hospital you have never seen","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay for a hospital you have never seen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Offer with no two consultations with the surgeon before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive bleeding that blocks your airway","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Excessive bleeding that blocks your airway and makes it hard to breathe","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Swelling, bleeding or oozing pus at the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Swelling, bleeding or oozing pus at the incision site","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Numbness or tingling in face, hands or lips","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Numbness or tingling in your face, hands or lips","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever of 101 degrees Fahrenheit or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees Fahrenheit (38 degrees Celsius) or higher","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Calcium tablets may run for weeks after total removal; home doctor follows them","document":"calcium supplement prescription","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"If your entire thyroid is removed, your surgeon will likely prescribe oral calcium supplements for several weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Written instructions let the home doctor continue wound care","document":"written incision care instructions","source":{"url":"https://my.clevelandclinic.org/health/treatments/7016-thyroidectomy","host":"my.clevelandclinic.org","quote":"Before you go home, your provider will give you instructions on how to care for your incision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical treatment for your overactive thyroid","name":"Anti-thyroid medicines","source":{"url":"https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/","host":"nhs.uk","quote":"Medicines called thionamides are commonly used to treat an overactive thyroid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your thyroid nodules are not cancerous and need no treatment now","name":"Monitoring for thyroid nodules","source":{"url":"https://my.clevelandclinic.org/health/diseases/13121-thyroid-nodule","host":"my.clevelandclinic.org","quote":"If the nodules aren’t cancerous, you and your healthcare provider may decide that you don’t need to be treated at this time.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-open-total","name":"Conventional open total thyroidectomy","how_it_works":{"text":"The surgeon removes all or most of the thyroid gland","source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"A total thyroidectomy is the removal of all or most of your thyroid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"hemithyroidectomy","name":"Hemithyroidectomy (lobectomy)","how_it_works":{"text":"The surgeon removes a single lobe of the thyroid gland","source":{"url":"https://www.cuh.nhs.uk/patient-information/23-hour-stay-hemithyroidectomy/","host":"cuh.nhs.uk","quote":"A hemithyroidectomy is the removal of one of the lobes of the thyroid gland.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://www.cuh.nhs.uk/patient-information/23-hour-stay-hemithyroidectomy/","host":"cuh.nhs.uk","quote":"After surgery, it is natural to feel tired, but most patients are able to return to their normal activities within a week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"minimally-invasive","name":"Minimally invasive or remote-access (transoral, axillary, robotic) thyroidectomy","how_it_works":{"text":"Surgeon removes part or all of thyroid via armpit or mouth","source":{"url":"https://www.healthline.com/health/thyroid-gland-removal","host":"healthline.com","quote":"In a robotic thyroidectomy, the surgeon can remove all or part of the thyroid through an axillary incision (via the armpit) or transorally (via the mouth).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"conventional-open-total","name":"Conventional open total thyroidectomy","how_it_works":{"id":"H1","text":"The surgeon removes all or most of the thyroid gland","source":{"url":"https://my.clevelandclinic.org/health/articles/thyroidectomy","host":"my.clevelandclinic.org","quote":"A total thyroidectomy is the removal of all or most of your thyroid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Thyroid cancer, bilateral goiter, Graves' disease.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Overnight stay typical; return to desk work in about 1-2 weeks; lifelong thyroid hormone replacement."},{"id":"hemithyroidectomy","name":"Hemithyroidectomy (lobectomy)","how_it_works":{"id":"H1","text":"The surgeon removes a single lobe of the thyroid gland","source":{"url":"https://www.cuh.nhs.uk/patient-information/23-hour-stay-hemithyroidectomy/","host":"cuh.nhs.uk","quote":"A hemithyroidectomy is the removal of one of the lobes of the thyroid gland.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://www.cuh.nhs.uk/patient-information/23-hour-stay-hemithyroidectomy/","host":"cuh.nhs.uk","quote":"After surgery, it is natural to feel tired, but most patients are able to return to their normal activities within a week.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Single indeterminate nodule, unilateral benign disease, selected low-risk cancer.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Often same-day or one-night stay; return to work in about 1 week; hormone replacement needed only in some patients."},{"id":"minimally-invasive","name":"Minimally invasive or remote-access (transoral, axillary, robotic) thyroidectomy","how_it_works":{"id":"H1","text":"Surgeon removes part or all of thyroid via armpit or mouth","source":{"url":"https://www.healthline.com/health/thyroid-gland-removal","host":"healthline.com","quote":"In a robotic thyroidectomy, the surgeon can remove all or part of the thyroid through an axillary incision (via the armpit) or transorally (via the mouth).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients with small nodules and low-risk disease treated in experienced centers.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar overall recovery; avoids a neck scar but is less widely available."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical treatment for your overactive thyroid","name":"Anti-thyroid medicines","source":{"url":"https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/","host":"nhs.uk","quote":"Medicines called thionamides are commonly used to treat an overactive thyroid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your thyroid nodules are not cancerous and need no treatment now","name":"Monitoring for thyroid nodules","source":{"url":"https://my.clevelandclinic.org/health/diseases/13121-thyroid-nodule","host":"my.clevelandclinic.org","quote":"If the nodules aren’t cancerous, you and your healthcare provider may decide that you don’t need to be treated at this time.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Romania without a visa for up to 90 days in any 180-day period","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/entry-requirements","host":"gov.uk","quote":"You can travel without a visa to the Schengen area , which includes Romania, for up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens with a valid passport book can stay in the Schengen area, including Romania, up to 90 days in any 180-day period for tourism or business","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"With a valid U.S. passport book, U.S. citizens can stay up to 90 days in the Schengen area for tourism or business during any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the date you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/entry-requirements","host":"gov.uk","quote":"an ‘expiry date’ at least 3 months after the date you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A U.S. passport must be valid for at least three months beyond your departure date from Romania","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"You must have a U.S. passport that is valid for at least three months beyond your departure date from Romania .","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"ghic","audience":"uk","volatile":false,"text":"To get medically necessary state healthcare in Romania, UK travelers need a GHIC or an EHIC","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Romania, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Hospitals and doctors in Romania often require payment up front before service or admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Romania.html","host":"travel.state.gov","quote":"Hospitals and doctors often require payment “up front” prior to service or admission.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/romania/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","azerbaijan","china","czech-republic","dominican-republic","egypt","germany","greece","hungary","india","israel","italy","kazakhstan","lithuania","malaysia","mexico","poland","republic-of-korea","spain","switzerland","thailand","turkey","ukraine","united-arab-emirates","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":5,"count":5,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"ルーマニアでの甲状腺摘出術費用について今すぐご確認ください","kind":"content"},{"text":"Bookimedでのお客様のメリットと保証","kind":"content"},{"text":"Bookimed専属アシスタント","kind":"content"},{"text":"ルーマニアの最高の甲状腺摘出術クリニックをご発見ください：1件の認証済み選択肢と料金","kind":"content"},{"text":"ルーマニアでの甲状腺摘出術概要","kind":"content"},{"text":"ルーマニアで甲状腺摘出術の医学評価を受ける：その分野の最高の専門医をお選びください","kind":"content"},{"text":"Bookimed患者のビデオストーリー","kind":"content"},{"text":"このコンテンツを共有","kind":"content"},{"text":"無料相談を受ける","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}