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 […]

Parathyroid glands in primary hyperparathyroidism exhibit distinct near-infrared autofluorescence (NIRAF) signatures, with normal glands showing higher intensity (2.68 vs 2.09 pixels, p

A systematic review assessed laparoscopic adrenalectomy (LA) for adrenal masses exceeding 5 cm, involving 963 patients across 25 studies. The mean tumor size was 7.05 cm, with the transperitoneal approach utilized for larger tumors averaging 12.10 cm. The average operative time was 137.4 minutes, with a minimal bleeding prevalence of 0.02%. Postoperative complications were rare, […]

Clinicians found that simple adrenal cysts smaller than 10 cm can be safely monitored without surgery. In a study of 77 patients, cysts under 10 cm grew slowly (0.3 cm/year) and showed no signs of malignancy or complications. Conversely, cysts over 10 cm grew significantly faster (13.2 cm/year) and were more likely to require surgical […]

Among 3,728 primary hyperparathyroidism patients, those undergoing parathyroidectomy had reduced risks of new-onset cognitive impairment (HR: 0.65), somnolence (HR: 0.45), and schizophrenia (HR: 0.08) compared to nonoperative management. No significant risk reduction was observed for anxiety, depression, or suicidal ideation. Additionally, surgical patients were less likely to require inpatient care for neuropsychiatric disorders (0.3% vs. […]