Selective alpha blockers lower medication expenses but yield similar surgical outcomes for pheochromocytoma. Median preoperative medication cost was $19.73 for selective vs. $1,033.70 for nonselective (p < 0.001). Total admission costs were nearly identical: $31,104.47 for selective vs. $31,471.90 for nonselective (p = 0.428). Choosing selective blockers may optimize preoperative costs without compromising patient care. […]

Same-day total thyroidectomy is feasible and safe for socioeconomically vulnerable patients, crucial for optimizing surgical flow. 51 out of 140 patients (36%) discharged on the same day; adoption rose from 32% to 88%. Complications were similar between same-day and overnight groups, with no hypoparathyroidism cases in same-day patients. Surgeons can confidently implement same-day discharges to […]

Surgeons can confidently implement overnight discharge after total thyroidectomy without increased complication risks. No differences in complications at 24 hours, 10 days, or 30 days between patients discharged on postoperative day 1 and those on day 3. 94.6% of patients discharged on day 1 reported high satisfaction with the rapid discharge protocol. Patient selection is […]

Surgeons can improve outcomes in endoscopic thyroidectomy by leveraging newly defined surgical planes and landmarks. The dissecting triangle between strap muscles and thyroid lobe ensures 100% identification of inferior thyroid vessels and middle thyroid vein. The inferior and superior parathyroid glands were located accurately in 92.5% and 90% of cases, respectively. Understanding these zones aids […]

Surgical approaches for large phaeochromocytomas matter: minimally invasive techniques reduce severe complications. Patients with tumours ≥ 6 cm faced significantly higher severe complication rates (11.2% vs. 4.8%; p < 0.001). Tumour size ≥ 6 cm is an independent predictor of complications (odds ratio 1.93; p < 0.001). Choosing laparoscopic or robotic adrenalectomy for large tumours […]

Retroperitoneal laparoscopic adrenalectomy shows significant advantages over transabdominal for adrenal tumors and pheochromocytomas. Operative time is reduced by an average of 8.6 minutes. Length of stay decreases by about 0.9 days, with lower estimated blood loss (28.1 mL less). For tumors larger than 5 cm, operative time benefits increase to 21.4 minutes, and blood loss […]

Fine-needle aspiration thyroglobulin (fna-tg) enhances detection of lymph node metastases in papillary thyroid carcinoma. An optimal cutoff value of 0.865 ng/ml yields 80% sensitivity and 94.4% specificity. When paired with cytological and thyroglobulin ratio assessments, diagnostic accuracy soars to 96.6%. The fna-tg levels correlate with serum thyroglobulin and thyroid status, streamlining the identification of metastatic […]

In a comparative study of neuromonitoring techniques during transoral thyroidectomy, percutaneous continuous vagal stimulation (PC) demonstrated superior performance over the conventional peroral delta electrode method. The PC group achieved faster electrode positioning, fewer displacement issues, and more reliable EMG signals. While both groups faced traction-related nerve injuries during surgery, the PC group’s incidents resulted in […]

A new surgical method—reverse-sequence dissection—dramatically reduces chylous fistula occurrences after lateral neck lymph node dissection for thyroid cancer. In a study of 989 patients, those undergoing the novel technique showed a chylous fistula rate of just 0.81%, compared to 5.05% in the traditional method cohort. This advancement not only enhances surgical safety but also offers […]