An algorithm utilizing intraoperative parathyroid hormone levels predicted symptomatic hypocalcemia in 90% of patients post-total thyroidectomy. Implementing routine calcium supplementation led to a drop in symptomatic hypocalcemia from 16% to 2.3% and a decrease in readmissions for related complications from 2.7% to 0.01%. While permanent hypoparathyroidism rates remained stable, the study demonstrated the algorithm’s effectiveness […]

A novel single-incision gasless trans-subclavian endoscopic approach for thyroidectomy has demonstrated feasibility in 243 patients. No conversions to open surgery occurred, with average surgery times of 84.9 minutes for lobectomy plus central neck dissection and 95 minutes for lobectomy alone. Complications included temporary recurrent laryngeal nerve injury in eight cases and one minor lymphatic fistula. […]

Near-infrared indocyanine green (ICG) imaging demonstrates promise in distinguishing between benign and malignant adrenal tumors during robotic surgeries. In a cohort of 197 patients, the method achieved an 87% sensitivity and a positive predictive value of 95.2% for identifying benign tumors. While specificity and negative predictive value were lower, results indicate that ICG can significantly […]

A 20-year follow-up of patients who underwent unilateral thyroid lobectomy revealed that those receiving postoperative levothyroxine treatment experienced a significantly lower recurrence of nodular goiter compared to those who did not, with rates of 3.3% versus 30.0%, respectively. Additionally, 4.9% of the levothyroxine group required further surgery, contrasting with 30.0% in the untreated group. Notably, […]

Implementing a de-escalated preoperative α-blockade protocol for pheochromocytoma adrenalectomy shows promising results. The study involving 82 patients indicated that this approach led to a significantly shorter hospital stay (2.5 days compared to 7.1 days) and reduced duration of postoperative norepinephrine use (0.3 hours versus 5.1 hours). Although symptomatic hypotension was more common in the de-escalated […]

A multidisciplinary team highlighted critical surgical quality indicators for thyroid cancer, assessing care across 51 hospitals and involving 112 surgeons. Findings revealed that 34.3% of thyroid cancer cases lacked preoperative cytology, and significant gaps in adherence to follow-up protocols were observed, with 19.2% of patients missing documented follow-up. The initiative underscores the necessity of a […]

A cohort of 1,000 patients undergoing transoral robotic thyroidectomy demonstrated promising results, particularly in cosmetic outcomes and postoperative recovery. The most common procedure was lobectomy (89.4%), with minimal complications (3.6%) and manageable postoperative pain scores. Average hospital stays were 2.6 days, and no recurrence was noted during a median follow-up of 39 months. A discernible […]

A study of 100 differentiated thyroid cancer patients demonstrates that modified Miccoli’s thyroidectomy significantly enhances post-operative recovery compared to routine open thyroidectomy. Patients in the modified group experienced shorter hospitalization times, less intraoperative bleeding, and lower pain levels, alongside reduced stress responses and improved immune function. Notably, they reported a higher quality of life post-surgery, […]

A multi-center study involving 1,021 patients with solitary papillary thyroid microcarcinoma compared image-guided thermal ablation to lobectomy. Median follow-up of 96.5 months revealed no significant differences in disease progression or disease-free survival between groups (4.7% vs. 3.4% and 95.5% vs. 97.1%, respectively). However, the ablation group experienced significantly lower complication rates (0.7% vs. 5.2%), shorter […]

A population-based analysis of 2,515 patients undergoing adrenalectomy for metastatic cancer revealed a one-year survival rate of 84.3%. Thirty-day mortality and morbidity rates were low at 1.3% and 29.9%, respectively. The study highlighted that prior radiotherapy correlated with increased complication rates. Laparoscopic procedures comprised 85.3%, maintaining resection completeness at 92.9%. Factors like extra-adrenal metastases and […]