Ultrasound-guided ablation techniques, particularly radiofrequency ablation (RFA), show effectiveness in treating benign thyroid nodules. RFA with 2 sessions is optimal for solid nodules, while polidocanol ablation stands out for cystic nodules. A network meta-analysis of 35 studies involving 5655 patients demonstrated RFA as the most effective method at 12 months, with RFA2 showing strong outcomes […]
Category: Endocrine Surgery
Management of Recurrent Laryngeal Nerve Infiltrated by Thyroid Carcinoma
Novel intraoperative phonosurgical management significantly improved voice quality post-surgery in patients with thyroid carcinoma infiltrating the recurrent laryngeal nerve. Resection and arytenoid adduction for medullary thyroid cancer, resection and ansa cervicalis-to-rln anastomosis for well-differentiated thyroid cancer with preoperative paralysis, and rln preservation for patients with normal vocal fold mobility showed promising outcomes. Journal Article by […]
Efficacy of Fibrin Sealants in Thyroidectomy
Researchers conducted a systematic review and meta-analysis of seven randomized controlled trials to evaluate the safety and efficacy of fibrin sealants (FS) in thyroid surgery. The analysis included 652 patients who underwent thyroidectomy with FS and compared them with conventionally treated patients. The primary outcomes were total wound drainage, length of hospitalization, and operative time. […]
Improving Adrenal Incidentaloma Evaluation Through a Quality Improvement Initiative
Implementation of a quality improvement program led to increased primary care provider-initiated evaluation of adrenal incidentalomas, with 35.5% meeting the primary endpoint in the quality improvement cohort compared to 27.6% in the historical cohort. Patients in the quality improvement cohort had 1.70 times higher odds of undergoing primary care provider-initiated evaluation. Adrenal surgery rates did […]
Improving Adrenal Incidentaloma Evaluation Through a Quality Improvement Initiative
Implementation of a quality improvement program led to increased primary care provider-initiated evaluation of adrenal incidentalomas, with 35.5% meeting the primary endpoint in the quality improvement cohort compared to 27.6% in the historical cohort. Patients in the quality improvement cohort had 1.70 times higher odds of undergoing primary care provider-initiated evaluation. Adrenal surgery rates did […]
Clinical Characteristics and Outcomes of Adrenal Hemorrhage
Adrenal hemorrhage, often triggered by trauma, presents diverse clinical manifestations. A retrospective analysis of 193 cases revealed a majority of unilateral hemorrhages, with trauma as the leading cause. Notably, many adrenal nodules went undetected initially, underscoring the importance of thorough evaluation. Follow-up imaging demonstrated varied changes in hemorrhage size, suggesting the need for continued monitoring […]
Clinical Characteristics and Outcomes of Adrenal Hemorrhage
Adrenal hemorrhage, often triggered by trauma, presents diverse clinical manifestations. A retrospective analysis of 193 cases revealed a majority of unilateral hemorrhages, with trauma as the leading cause. Notably, many adrenal nodules went undetected initially, underscoring the importance of thorough evaluation. Follow-up imaging demonstrated varied changes in hemorrhage size, suggesting the need for continued monitoring […]
Impact of Pheochromocytoma Size on Surgical Timing and Extent
Tumor size correlates with biochemical activity in pheochromocytomas, with lesions ≥2.3 cm more likely to produce levels 3 times upper limit of normal. Doubling tumor size or a ≥1 cm increase enhances biochemical activity. While paroxysmal symptoms are common, they don’t significantly correlate with tumor size or biochemical activity. These findings suggest tumor size can […]
Improved Prediction of Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma Patients Using AI
AI trained by thyroid ultrasound improved prediction of lymph node metastasis in papillary thyroid carcinoma patients. The multi-scale, multi-frame, and dual-direction deep learning model achieved AUCs of 0.85 and 0.81 in the test and validation cohorts, respectively. Radiologists’ diagnostic accuracy and sensitivity significantly improved with AI assistance. This technology can enhance preoperative predictions and assist […]
Comparison of Oncologic Outcomes and Surgical Completeness in Remote-Access Thyroidectomy Techniques
This systematic review and network meta-analysis compared the oncologic outcomes and surgical completeness of gasless transaxillary approach (GTAA), bilateral axillo-breast approach (BABA), and transoral approach (TOA) with conventional transcervical thyroidectomy (CTT). Results suggest similar oncologic outcomes in GTAA, BABA, and TOA compared to CTT, with GTAA potentially less effective in surgical completeness. Overall recurrence rates […]
