Researchers introduced a novel liver retraction approach for laparoscopic right adrenalectomy using basic local tools, enhancing feasibility in resource-limited settings. This technique, featuring a unique port configuration and ergonomic support, was designed to prevent liver injury while ensuring optimal surgical exposure. Its simplicity and cost-effectiveness demonstrate potential for broad adoption in developing countries, addressing challenges […]

A systematic review of 23 studies involving 2,470 adults with primary hyperparathyroidism demonstrated the feasibility of minimally invasive parathyroidectomy under local anesthesia. Operative times averaged 43.86 minutes with a 95-97% success rate. Patients experienced a mean hospitalization of just 16.83 hours and relatively few complications. Preoperative and postoperative parathyroid hormone and calcium levels showed significant […]

A nationwide survey revealed that 67.14% of Italian endocrine surgeons now routinely employ intraoperative nerve monitoring (IONM) during thyroid and parathyroid surgeries. This marks a significant increase since 2014, indicating improved surgical safety and reduced complication rates. Despite growing acceptance, challenges such as the variability in monitoring strategies and the occurrence of false results remain. […]

Incentive nursing care (ICN) alongside routine nursing care (RNC) significantly enhances the management of depression and anxiety in thyroid cancer patients undergoing surgery. A meta-analysis of 12 trials with 999 participants revealed notable improvements in self-reported depression and anxiety levels, as well as overall quality of life measures. Results indicated that ICN plus RNC outperformed […]

A meta-analysis of 43 randomized controlled trials involving over 10,000 patients indicates the sutureless focus harmonic scalpel (UAS) is superior to the conventional clamp-and-tie technique in total thyroidectomy. Notably, the incidence of transient recurrent laryngeal nerve palsy was significantly lower with UAS (3.99% vs. 5.23%). Similarly, transient hypocalcemia occurred less frequently in UAS patients (11.3% […]

A comparative analysis of single-port techniques for adrenalectomies revealed that single-port single-channel laparoscopic surgery offers significant benefits for tumors up to 4 cm, including reduced hospital stay and pain. For tumors exceeding 4 cm, single-port multi-channel approaches facilitate shorter hospital stays and fewer additional punctures. All 218 adrenalectomies were successfully performed without conversion to open […]

A meta-analysis of 43 randomized controlled trials involving 10,361 patients reveals that the sutureless focus harmonic scalpel significantly lowers the risk of complications during thyroidectomy. The transient recurrent laryngeal nerve injury was reduced to 3.99% with the scalpel compared to 5.23% with the clamp-and-tie technique. Additionally, transient hypocalcemia rates were lower (11.3% vs. 15.4%). These […]

A systematic review and meta-analysis of 127,467 patients following thyroid surgery revealed critical risk factors for surgical site infections (SSI). Key contributors included surgical duration over two hours, existing comorbidities, patients older than 50 years, incision length greater than five centimeters, and lymph node dissection. Notably, while males had a significant association with SSI risk, […]

Near-infrared autofluorescence (NIRAF) imaging significantly improves the ability of surgical trainees to recognize parathyroid glands during thyroidectomy and parathyroidectomy. Detection rates soared for junior trainees from 46.5% to 94.8% and for senior trainees from 68% to 97%. Additionally, NIRAF identified 48.3% more glands for juniors, 29% for seniors, and increased confidence in recognizing known glands […]