A clinical analysis of a new multifunctional instrument set for gasless endoscopic thyroidectomy with transaxillary and transareolar approaches was conducted on 180 patients with papillary thyroid carcinoma. The study found that both approaches using the same instruments had similar outcomes in terms of surgical resection, complications, and postoperative results. Despite differences in cavity construction times, […]

Adrenalectomy for secondary adrenal malignancy (SM) poses an elevated risk of postoperative bleeding compared to benign nonfunctional (BNF) adrenal neoplasms. Among 3496 patients, those with SM were older and had higher rates of comorbidities. Laparoscopic adrenalectomy was common for both groups, with comparable mortality and morbidity rates. However, SM patients exhibited significantly higher postoperative bleeding […]

Utilizing rapid onsite evaluation (ROSE) during first-time fine-needle aspiration (FNA) of thyroid nodules significantly increased diagnostic adequacy from 76% to 92%. ROSE implementation raised the odds of adequate FNA by 22%, with a 28% increase seen in institutions with lower baseline diagnostic rates. Conversely, institutions with higher baseline rates saw a 5% increase. Overall, ROSE […]

Modern trends in primary hyperparathyroidism reveal patients presenting with lower parathyroid hormone and calcium levels. Parathyroidectomy, now more common for borderline cases with osteopenia and modest calciuria, yields a 93.7% cure rate, regardless of guideline concordance. This suggests a role for broader surgical indications, given excellent cure rates and rare postoperative hypocalcemia. Journal Article by […]

Robot-assisted retroperitoneal pheochromocytoma resection was associated with lower perioperative hemodynamic instability compared to laparoscopic surgery. A nomogram predicting instability risk was developed, including tumor size, abnormal blood glucose, preoperative systolic blood pressure, robot-assisted surgery, and catecholamines as significant factors. The nomogram had an area under the curve of 0.816, providing clinicians with a tool to […]

Adrenalectomy for adrenal metastasis remains controversial, and the feasibility of laparoscopic adrenalectomy (LA) is under debate. A retrospective review of 141 patients undergoing adrenalectomy compared open adrenalectomy (OA) to LA. For tumors less than 8 cm without adjacent organ resection, LA had shorter operation time, less blood loss, and shorter hospital stay. Positive pathological margin, […]

A total of 4464 adrenal surgery patients were analyzed from the United Kingdom Registry of Endocrine and Thyroid Surgery. The study found that increasing surgeon volume is associated with shorter hospital stays and fewer postoperative complications. Surgeons performing a minimum of 12 adrenal operations per year had significantly lower complication rates and shorter hospital stays […]

Researchers investigated the efficacy and safety of an indocyanine green-macroaggregated albumin-hyaluronic acid (ICG-MAA-HA) mixture for surgical localization of recurrent thyroid cancer. Nine patients received preoperative injections of the dye into recurrent lesions, and surgery was performed using an imaging system for lesion identification. No side effects were reported, and the dye effectively located metastatic and […]

This study aimed to determine the incidence and risk factors of hyperthyroidism after parathyroidectomy. In a prospective study of 91 patients, 24.2% had suppressed thyroid-stimulating hormone (TSH) after the procedure, with 2.2% reporting symptoms of hyperthyroidism. However, all cases resolved within 6 weeks without medical intervention. The suppressed TSH group had a higher rate of […]

In the study evaluating the impact of chronic lymphocytic thyroiditis on papillary thyroid carcinoma patients, researchers found that patients with chronic lymphocytic thyroiditis exhibited different clinical features compared to those without. The presence of chronic lymphocytic thyroiditis was associated with a lower risk of central lymph node metastasis. Notably, angiolymphatic invasion was identified as the […]