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 […]
Category: Endocrine Surgery
Comparative Outcomes and Prognostic Factors in Adrenalectomy for Adrenal Metastasis
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, […]
Surgeon Volume and Outcomes in Adrenal Surgery: Centralization for Higher-Volume Surgeons Recommended
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 […]
Improved Localization and Safety of Indocyanine Green-Macroaggregated Albumin-Hyaluronic Acid Mixture for Recurrent Thyroid Cancer Surgery
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 […]
Transient Hyperthyroidism Common After Parathyroidectomy
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 […]
Chronic Lymphocytic Thyroiditis Linked to Reduced Central Lymph Node Metastasis in Papillary Thyroid Carcinoma
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 […]
Transoral thyroidectomy associated with higher postoperative pain levels compared to conventional thyroidectomy
The study compared postoperative pain levels between transoral and conventional transcervical thyroidectomy. After matching patients based on six covariates, the transoral group had higher pain scores than the conventional group from day 1 to day 6 post-surgery, with no significant difference at 1 month. Among transoral procedures, the endoscopic approach had significantly higher pain scores […]
Chewing Gum before Thyroid Surgery Reduces Postoperative Sore Throat
Chewing 2.8g of gum prior to total thyroidectomy surgery can significantly decrease the incidence of moderate/severe postoperative sore throat within 48 hours after the procedure. This finding was established through a randomized controlled trial involving 148 patients, with the 2.8g gum group demonstrating a lower incidence of postoperative sore throat compared to the control group. […]
Retroperitoneoscopic Adrenalectomy Offers Safe and Excellent Outcomes
Researchers conducted a study to evaluate the perioperative outcomes of retroperitoneoscopic adrenalectomy (RPA) before and after expert intensive trainings (EITs), and compared it to other laparoscopic adrenalectomy approaches. They found that RPA, in addition to offering direct surgical access, had shorter procedure duration, hospital stay, and fewer complications compared to transabdominal lateral adrenalectomy. The study […]
Development of a Predictive Tool for Hypocalcemia after Total Thyroidectomy
The study aimed to develop a tool to predict the probability of hypocalcemia after total thyroidectomy (TT) by evaluating the percentage decrease in serum parathyroid hormone (PTH) levels in the first 8 hours postoperatively. They prospectively evaluated 97 TT patients, determining the predictors of hypocalcemia requiring calcium supplementation. The results showed that the percentage decrease […]
