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Endocrine Surgery

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BMC Surg9 Nov 2023

Reducing Parathyroid Tissue Removal: Near-Infrared Autofluorescence in Thyroid Surgery

This study explored the impact of near-infrared autofluorescence imaging during thyroid surgery on the inadvertent removal of parathyroid tissue. Comparing patients who underwent total thyroidectomy with or without this imaging tool, the results showed a lower rate of accidental parathyroid tissue removal in the near-infrared…

BMC Surg9 Nov 2023

Thyroid Surgery After Radiofrequency Ablation: Safe and Effective

Researchers assessed the impact of radiofrequency ablation on subsequent thyroid surgery. They compared outcomes and complications between patients who had thyroidectomy after radiofrequency ablation and those without prior ablation. The study included 96 patients, with no significant differences in operative time or complications between the…

BMC Surg9 Nov 2023

Radiofrequency Ablation May Benefit Younger Patients with Thyroid Microcarcinoma

Researchers examined the best approach for treating papillary thyroid microcarcinoma, offering choices like radiofrequency ablation, active surveillance, or surgery. Their mathematical model assessed the likelihood of cancer progression, the need for thyroid replacement therapy, and treatment complications. Radiofrequency ablation outperformed active surveillance in averting progression…

BMC Surg9 Nov 2023

Social Determinants Impact Thyroid Cancer Outcomes

This study delves into the influence of social determinants of health on thyroid cancer patients. Researchers scrutinized data from over 142,000 cases and discovered that longer delays in treatment resulted in higher mortality rates. Moreover, patients facing adverse social determinants of health, such as low…

Liver Int9 Nov 2023

Thyroid Hormone Receptor Alpha: A Potential Game-Changer in Liver Fibrosis

This study explores the role of thyroid hormones (TH) and their receptor, TRα, in hepatic fibrogenesis, a key process in chronic liver disease. Researchers found that TRα plays a dominant role in hepatic stellate cells (HSC) and can modulate fibrogenic gene expression. TH, specifically T3,…

BMC Surg26 Oct 2023

Hemithyroidectomy Found Effective for Noninvasive Medullary Thyroid Tumors

In patients with nonmetastatic medullary thyroid cancer, researchers examined the use of hemithyroidectomy, a less extensive surgery, instead of total thyroidectomy. They identified two types of tumors, desmoplasia-negative and desmoplasia-positive, based on markers in the tumor tissue. The results showed that patients with desmoplasia-negative tumors…

World J Surg26 Oct 2023

Diameter Trumps Volume in Monitoring High-Risk Thyroid Nodule Growth

In the evaluation of disease progression within high-risk thyroid nodules during active surveillance, researchers compared the effectiveness of tracking tumor diameter versus volume. Among 468 patients with a total of 569 high-risk thyroid nodules, only 2.5% showed a significant diameter increase of ≥3 mm, while…

Endocrine Surgery26 Oct 2023

TOETVA: Aesthetic Thyroid Surgery Learning Curve and Castle Tumor Case

The transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers a cosmetic edge over traditional thyroid surgery. Researchers assessed TOETVA's learning curve and its effectiveness in treating carcinoma showing thymus-like differentiation (CASTLE) tumors. The study found longer operation times in TOETVA, but it excelled in skin numbness…

Ann Surg19 Oct 2023

Surgery Timing for Low-Risk Thyroid Microcarcinoma: Immediate or Delayed?

A study explored the outcomes of treating low-risk papillary thyroid microcarcinoma (PTMC) through immediate surgery (IOP) or delayed surgery after active surveillance (DOP). DOP was an alternative to immediate surgery. Among the 516 patients undergoing surgery, DOP patients had larger tumors, more lymphatic invasion, and…