The study evaluated the impact of near-infrared fluorescence imaging plus indocyanine green fluorescence on postoperative hypoparathyroidism rates after total thyroidectomy and central neck lymph node dissection. The near-infrared fluorescence imaging + indocyanine green group showed significantly lower rates of both transient and permanent hypoparathyroidism compared to the control group and the near-infrared fluorescence imaging alone […]

Results show that fine-needle aspiration cytology results influence surgical planning in thyroid cancer, with intermediate categories leading to more partial thyroidectomies. Inadequate procedures due to inconclusive cytology are encountered in up to 15% of cases. Completion thyroidectomies after initial partial procedure do not significantly increase morbidity. Primary partial thyroidectomy is safer than total thyroidectomy in […]

Male and non-white patients with medullary thyroid cancer (MTC) are more likely to present with advanced disease, including larger tumors and distant metastases. They also experience longer delays in receiving surgical treatment and are less likely to undergo guideline-concordant surgery. Black patients, in particular, are at a higher risk of disparities in disease presentation and […]

Patients with primary hyperparathyroidism experience significant improvements in mood and sleep quality after parathyroidectomy. Depression scores significantly decreased at 3 and 12 months post-surgery compared to preoperative levels. Sleep quality showed improvement at 12 months, particularly in daytime dysfunction. These findings highlight the importance of considering mood and sleep disturbances in preoperative assessments for patients […]

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, […]