Inconsistent practices in intraoperative nerve monitoring (IONM) hinder surgical outcomes in endocrine procedures. Key variability exists in techniques, signal interpretation, and outcome documentation. Essential standardization areas include defining signal loss and reporting technical settings. Implementing these consensus recommendations can enhance data quality and outcome evaluation in endocrine surgery. Improved comparisons across studies could support stronger […]

A large study shows that percutaneous combined intraoperative neuromonitoring significantly reduces vocal cord palsy in transoral endoscopic thyroidectomy. Percutaneous-combined group had a temporary vocal cord palsy rate of just 0.2%, vastly lower than other techniques. Independent protective factor against vocal cord palsy, with odds ratio of 0.08; thyroid malignancy and Graves’ disease increase risk. Consider […]

Using the EU-TIRADS ultrasound system improves identification of thyroid nodules needing surgery, minimizing unnecessary biopsies. A higher percentage of nodules classified as Bethesda IV-VI were found in the selective group (26%) vs. non-selective (13%), p=0.039. The malignancy rate was similar: 8% for selective vs. 5% for non-selective. Less need for cytology: 71% of patients in […]

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 […]