Gasless single-incision endoscopic surgery via subclavicular approach (ESSA) is a safe and effective procedure for lateral neck dissection in patients with papillary thyroid cancer. Results showed that ESSA had comparable lymph node yield to video-assisted endoscopic surgery (VAES) and open surgery (OP), while also resulting in lower swallowing impairment scores and higher cosmetic satisfaction rates. […]
Category: Endocrine Surgery
Advantages of Retroperitoneal Laparoscopic Adrenalectomy for Small Tumors
A comparative study was conducted to compare the effectiveness and safety of transabdominal and retroperitoneal laparoscopic adrenalectomies. The study involved 472 patients, with laparoscopic transabdominal adrenalectomies (LTA) being the preferred approach for most surgeons. It was found that retroperitoneal adrenalectomies (RPA) had advantages in terms of surgery time, blood loss, post-op pain, and recovery for […]
Gasless TOETVA and Open Surgery have Comparable Effects on Oral Function and Psychological Well-being in Papillary Thyroid Cancer Patients
The study analyzed 212 papillary thyroid cancer patients who underwent either gasless transoral endoscopic thyroidectomy vestibular approach (TOETVA) or open surgery. The gasless TOETVA group exhibited higher oral health impact profile-14 scores in the first year after surgery compared to the open surgery group, but the difference disappeared after one year. State anxiety scores did […]
Central Lymph Nodes in Frozen Sections Predict Extended Lymph Node Resection Need in Papillary Thyroid Carcinoma
Central lymph node metastasis (CLNM) in frozen sections accurately predicted neck lateral lymph node metastasis (NLLNM) in patients with papillary thyroid carcinoma (PTC). Furthermore, risk factors for NLLNM metastasis were identified, including maximum metastatic diameter, total number, and ratio of metastatic lymph nodes (LNs). Based on these findings, patients with PTC with >5 CLNMs, 2-5 […]
Near-Infrared Fluorescence Identification of Thoracic Duct: Feasible and Safe in Various Patient Populations
The study evaluated the efficacy and safety of near-infrared fluorescence identification of the thoracic duct during left lateral neck dissection. Results showed that near-infrared fluorescence visualization successfully identified the thoracic duct in a higher percentage of patients compared to ambient light. The procedure was feasible and safe, even in patients with prior neck surgery or […]
Wire-guided localization improves outcomes in non-palpable recurrent thyroid carcinoma
Wire-guided localization (HWG) surgery for non-palpable recurrent thyroid carcinoma (TC) has been found to have improved outcomes compared to traditional procedures. A retrospective cohort study analyzed the results of HWG resection and found that it reduced surgical morbidity and improved re-recurrence-free survival (RRFS) and re-recurrent/progressive disease (RRD). The HWG cohort had a lower rate of […]
Risk of Intraoperative Hemodynamic Instability in Adrenalectomy for Pheochromocytoma
Adrenalectomy for pheochromocytoma carries a risk of intraoperative hemodynamic instability (HDI). In this study, researchers retrospectively reviewed the charts of 205 patients who underwent adrenalectomy for pheochromocytoma. They found that HDI occurred in 75.6% of patients but was rarely associated with major cardiovascular events. Patients with intraoperative HDI had higher rates of postoperative complications. Overall, […]
Frailty, Not Age, Determines Adverse Outcomes in Minimally Invasive Adrenalectomy Surgery
The study evaluated the impact of frailty on complications and length of stay after minimally invasive adrenalectomy surgery. It found that frailty, rather than age, was a better predictor of adverse outcomes. The study included 8,693 patients who underwent the surgery, and the results showed low 30-day mortality and complication rates. Frailty was associated with […]
Laparoscopic Surgery for Adrenocortical Carcinoma: Identifying Risk Factors for Noncurative Resection
In recent years, there has been an increased use of minimally invasive surgery (MIS) for adrenocortical carcinoma (ACC). However, MIS has been associated with noncurative resection and locoregional recurrence. This study aimed to identify risk factors for margin-positive resection in ACC patients undergoing MIS. Factors such as increasing age, nonacademic center, advanced tumor stage, and […]
Long-term outcomes of ultrasound-guided thermal ablation for low-risk papillary thyroid microcarcinoma
A multicenter retrospective study reports that ultrasound-guided thermal ablation (TA) is an effective and safe treatment option for patients with solitary low-risk papillary thyroid microcarcinoma (PTMC). Over a median follow-up period of 77.2 months, the incidence of disease progression, lymph node metastasis, and recurrent tumors were 3.6%, 1.1%, and 2.5%, respectively. TA achieved a median […]