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Following the implementation of a systemwide quality improvement (QI) program, researchers assessed the management of incidental adrenal masses (IAMS) in 437 patients from January 2018 to December 2019. The QI intervention included various strategies such as providing chart-based messages, emails to primary care providers (PCPs),…
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…
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…
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…
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…
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…
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…
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…
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…
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…
