Understanding the anatomy and surgical techniques of thyroidectomy and neck dissection is crucial for successful outcomes and minimizing complications. Emphasis is placed on preserving critical structures, like the parathyroid glands and recurrent laryngeal nerve, to ensure better survival rates. Evaluating various thyroidectomy techniques, including minimally invasive approaches, can offer potential benefits but require continuous surgical […]

Autofluorescence significantly improved parathyroid gland identification in hemithyroidectomy, boosting surgical confidence. The near-infrared camera enabled better visualization pre-procedure, leading to higher parathyroid identification rates compared to conventional surgery. This approach may benefit low-volume institutions without parathyroid surgery experience. Journal Article by Abood A, Rolighed L (…) Triponez F et 3 al. in Br J Surg […]

Radioactive iodine administration did not significantly improve disease-specific survival in intrathyroidal classic papillary thyroid carcinoma >4 cm, suggesting limited benefit and questioning routine use in this patient population. Age ≥55 and larger tumor size were associated with increased risk of disease-specific death, emphasizing the need for personalized treatment approaches. Journal Article by Lee-Saxton YJ, Palacardo […]

Delaying surgery for papillary thyroid carcinoma (PTC) worsens survival, with longer times to surgery associated with poorer outcomes. Racial disparities persist, as black patients face worse survival independent of time to surgery and other factors. Non-Hispanic white patients have shorter median times to surgery compared to black and Hispanic patients. Journal Article by Gillis A, […]

Young males under 40 with papillary thyroid cancer exhibit higher rates of nodal metastasis compared to older males and females. However, they experience similar recurrence rates at 1 year as their female and older counterparts. No significant differences were found in other outcomes such as 30-day outcomes, reoperation, mortality, nerve injury, or hypocalcemia, highlighting the […]

Autotransplantation of cryopreserved parathyroid tissue was found to be cost-effective for treating permanent postoperative hypoparathyroidism, with a low reimplantation rate but positive functionality outcomes. The cost-utility analysis estimated an additional cost of $70,719.04 per quality-adjusted life-year, below the common willingness-to-pay threshold. Individual surgical centers are advised to consider the economic and logistical implications of cryopreservation […]

Surgical management, including primary tumor resection alone or with metastasectomy, significantly improved overall survival (OS) in metastatic adrenocortical carcinoma (ACC) patients. Metastasectomy alone did not show a survival benefit. Primary resection with metastasectomy was associated with better OS compared to primary tumor resection alone. These findings suggest that selected patients with metastatic ACC may benefit […]

Despite recent evidence supporting conservative management, 63.4% of papillary thyroid microcarcinoma (PTMC) patients in the community underwent total thyroidectomy, leading to higher rates of recurrent laryngeal nerve injury and hypocalcemia compared to lobectomy. Non-endocrine surgeons also administered radioactive iodine more frequently. Subgroup analysis showed variations in total thyroidectomy rates based on tumor size and surgery […]

Preoperative imaging based on the probability of having adenomas can significantly reduce unnecessary bilateral neck explorations in patients undergoing parathyroidectomy. Adenomas were associated with higher calcium and parathyroid hormone levels compared to hyperplasia. The likelihood that imaging helped with operative planning increased with the predicted probability of adenoma. A selective imaging approach considering preoperative probability […]

Gasless endoscopic thyroidectomy through an axillary approach shows better postoperative physical quality of life, cosmetic satisfaction, and faster recovery in psychological and emotional aspects compared to traditional open thyroidectomy in female patients with differentiated thyroid carcinoma. Journal Article by Xu T, Qin X (…) Wei T et 5 al. in Surg Endosc © 2024. The […]