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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…
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…
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…
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…
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.
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…
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…
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…
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…
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,…
