3,295 results match your criteria Minimally Invasive Surgery of the Thyroid


The Feasibility of a Prototype Thyroidoscope for Gasless Transoral Endoscopic Thyroidectomy: A Preclinical Cadaver Study.

J Laparoendosc Adv Surg Tech A 2019 Apr 16. Epub 2019 Apr 16.

2 Department of Otorhinolaryngology, Head and Neck Surgery, Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Busan, Republic of Korea.

Objective: This study aimed to evaluate the feasibility of the gasless transoral endoscopic thyroidectomy vestibular approach (TOETVA) using the Thyroidoscope, developed to maintain the surgical working space without CO insufflation.

Materials And Methods: To prevent a potentially fatal CO-related complication, we developed a retractable device, named the Thyroidoscope, which could maintain the surgical working space without CO insufflation. We conducted a preclinical cadaver study to evaluate its use in gasless TOETVA. Read More

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http://dx.doi.org/10.1089/lap.2019.0107DOI Listing

Clinical application of ultrasound-guided percutaneous microwave ablation for benign breast lesions: a prospective study.

BMC Cancer 2019 Apr 11;19(1):345. Epub 2019 Apr 11.

Department of Ultrasound, Beijing Tian Tan Hospital, Capital Medical University, No. 119, West Road of South 4th Ring Road, Fengtai District, Beijing, 100160, China.

Background: Background: Benign breast lesions are the most common diseases in adult women, which have been treated with minimally invasive therapies in recent years. Little is known about the feasibility of Microwave ablation (MWA) for benign breast lesion treatment. The primary aim of this prospective study was to evaluate the safety and efficiency of MWA as a potential therapeutic option for benign breast lesions in a single-center cohort study. Read More

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http://dx.doi.org/10.1186/s12885-019-5523-6DOI Listing
April 2019
1 Read
3.362 Impact Factor

Current Practice of Surgery for Benign Goitre-An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry.

J Clin Med 2019 Apr 8;8(4). Epub 2019 Apr 8.

Department of Visceral-, Vascular and Endocrine Surgery, University Medical Centre Halle, 06120 Halle, Germany.

Background: To evaluate the current indications, resection strategies and short-term outcomes of surgery for benign goitre in a country with endemic goitre.

Methods: Data of patients who underwent surgery for benign goitre were retrieved from the prospective StuDoQ/Thyroid registry and retrospectively analysed regarding the patient's demographics, indications for surgery, surgical procedures, histology, and perioperative outcomes.

Results: In a 15-month period, 12,888 patients from 83 departments underwent thyroid resections for benign conditions. Read More

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http://dx.doi.org/10.3390/jcm8040477DOI Listing
April 2019
1 Read

Safe and effective percutaneous ethanol injection therapy of 200 thyroid cysts.

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2019 Mar 29. Epub 2019 Mar 29.

Department of Internal Medicine III - Nephrology, Rheumatology and Endocrinology.

Introduction: Ultrasound-guided percutaneous ethanol injection therapy (US-PEIT) is a minimally invasive procedure that may be performed as an alternative to surgery for the treatment of recurrent symptomatic thyroid cysts for which simple aspiration failed. The present study aimed at assessing US-PEIT in a large cohort of patients, identifying factors influencing treatment outcome.

Methods: Retrospective analysis of 193 patients with 200 thyroid cysts who underwent US-PEIT in 2004-2018. Read More

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http://biomed.papers.upol.cz/doi/10.5507/bp.2019.007.html
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http://dx.doi.org/10.5507/bp.2019.007DOI Listing
March 2019
2 Reads

Treatment of thyroid nodules with radiofrequency: a 1-year follow-up experience.

J Ultrasound 2019 Apr 3. Epub 2019 Apr 3.

Department of Endocrinology, Azienda Ospedaliera San Giovanni Addolorata, Rome, Italy.

Purpose: The aim of this study is to assess the effectiveness and safety of radiofrequency ablation (RFA) in debulking benign solid thyroid nodules.

Materials And Methods: This is a retrospective review of 77 patients with predominantly solid thyroid nodules treated with RFA in a single center between 2013 and 2016. All patients declined or were not eligible for surgery. Read More

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http://dx.doi.org/10.1007/s40477-019-00375-4DOI Listing

Practice Patterns in Parathyroid Surgery: A Survey of Asia-Pacific Parathyroid Surgeons.

World J Surg 2019 Apr 2. Epub 2019 Apr 2.

Endocrine Surgery Unit, Department of Surgery, The Royal Melbourne Hospital, Epworth Freemason's Hospital, Melbourne University, 300 Grattan Street, Parkville, VIC, 3050, Australia.

Background: Practice variations exist amongst parathyroid surgeons depending on their expertise and resources. Our study aims to elucidate the choice of surgical techniques and adjuncts used in parathyroid surgery by surgeons in the Asia-Pacific region.

Methods: A 25-question online survey was sent to members of five endocrine surgery associations. Read More

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http://dx.doi.org/10.1007/s00268-019-04990-4DOI Listing
April 2019
2 Reads

Application of Carbon Nanoparticles in Endoscopic Thyroidectomy via Bilateral Areola Approach: Total Thyroidectomy Plus Central Lymph Node Dissection.

J Laparoendosc Adv Surg Tech A 2019 Apr 1. Epub 2019 Apr 1.

1 Division of Thyroid Surgery, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, China-Japan Union Hospital of Jilin University, Changchun City, Jilin Province, P. R. China.

Background: The aim of this report was dual: (a) to describe the step-by-step standardized intraoperative percutaneous injection of carbon nanoparticles (CNPs) procedure for CNP-stained central compartment lymph nodes (CLNs) and passive display of parathyroid gland by CNP-stained thyroid in endoscopic thyroidectomy via bilateral areola approach (ETBAA) and (b) evaluation and outcomes of percutaneous injection of CNPs in total thyroidectomy plus CLN dissection through ETBAA.

Materials And Methods: Video describes the technique of intraoperative percutaneous injection of CNPs for central compartment LNs identification, dissection, and parathyroid glands preservation in ETBAA for papillary thyroid cancer.

Results: Supplementary video shows that after intrathyroid injection of CNPs, black carbon can be seen rapidly along the lymphatic vessels to the surrounding LNs. Read More

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http://dx.doi.org/10.1089/lap.2019.0102DOI Listing
April 2019
1 Read

The usefulness of fine-needle aspirates for detection of recurrent carcinoma in the thyroid bed.

J Am Soc Cytopathol 2019 Jan - Feb;8(1):34-38. Epub 2018 Aug 28.

Department of Pathology, AC Camargo Cancer Center, Sao Paulo, Brazil; Department of Pathology, Santa Casa Medical School, Sao Paulo, Brazil; Department of Pathology, Fleury Laboratories, Sao Paulo, Brazil. Electronic address:

Introduction: Locoregional recurrence of thyroid carcinoma has a negative impact on patient prognosis. In the current study, we retrospectively reviewed cases of thyroid bed lesions in the last 3 years, correlating cytologic diagnoses with clinical findings and, whenever available, final surgical diagnosis.

Materials And Methods: Cytologic results and needle wash thyroglobulin results from patients with fine-needle aspiration (FNA) of thyroid bed lesions were retrospectively collected from our electronic files. Read More

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http://dx.doi.org/10.1016/j.jasc.2018.08.004DOI Listing

A novel diagnostic method for thyroid follicular tumors based on immunofluorescence analysis of p53-binding protein 1 expression: detection of genomic instability.

Thyroid 2019 Mar 30. Epub 2019 Mar 30.

Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Department of Tumor and Diagnostic Pathology , 1-12-4 Sakamoto , Nagasaki, Nagasaki, Japan , 852-8523 ;

Background: The preoperative diagnosis of thyroid follicular carcinomas by fine-needle aspiration cytology (FNAC) is almost impossible. We previously demonstrated that p53-binding protein 1 (53BP1) expression, based on immunofluorescence (IF), can serve as a valuable biomarker to estimate the malignant potential of various cancers. 53BP1 belongs to a class of DNA damage response molecules that rapidly localize to the site of DNA double-strand breaks (DSBs), forming nuclear foci (NF). Read More

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http://dx.doi.org/10.1089/thy.2018.0548DOI Listing
March 2019
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Minimally-invasive treatments for benign thyroid nodules: a Delphi-based consensus statement from the Italian minimally-invasive treatments of the thyroid (MITT) group.

Int J Hyperthermia 2019 26;36(1):376-382. Epub 2019 Mar 26.

aa Division of Interventional Radiology , IEO, European Institute of Oncology IRCCS , Milan , Italy.

Benign thyroid nodules are a common clinical occurrence and usually do not require treatment unless symptomatic. During the last years, ultrasound-guided minimally invasive treatments (MIT) gained an increasing role in the management of nodules causing local symptoms. In February 2018, the Italian MIT Thyroid Group was founded to create a permanent cooperation between Italian and international physicians dedicated to clinical research and assistance on MIT for thyroid nodules. Read More

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http://dx.doi.org/10.1080/02656736.2019.1575482DOI Listing
March 2019
1 Read

Ultrasound-guided percutaneous laser ablation for papillary thyroid microcarcinoma: a retrospective analysis of 37 patients.

Cancer Imaging 2019 Mar 20;19(1):16. Epub 2019 Mar 20.

Department of Ultrasound, The Affiliated Suzhou Hospital of Nanjing Medical University, No. 1 Lijiang Road, Suzhou, 215163, China.

Background: Over the past ten years, more papillary thyroid microcarcinoma (PTMC) has been diagnosed more frequently due to the development of imaging technology, and the incidence of PTMC has increased significantly. Ultrasound-guided percutaneous laser ablation (PLA) is mainly used for benign thyroid nodules, and few studies have been published on the use of PLA for PTMC. In the present study, a retrospective analysis was performed to explore the efficacy of PLA for PTMC. Read More

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http://dx.doi.org/10.1186/s40644-019-0204-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425672PMC
March 2019
1 Read

Radial incision and cutting method using a transanal approach for treatment of anastomotic strictures following rectal cancer surgery: a case report.

World J Surg Oncol 2019 Mar 14;17(1):48. Epub 2019 Mar 14.

Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan.

Background: Development of an anastomotic stricture following rectal cancer surgery is not uncommon. Such strictures are usually managed by manual or instrumental dilatation techniques that are often insufficiently effective, as evidenced by the high recurrence rate. Various surgical procedures using minimally invasive approaches have also been reported. Read More

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http://dx.doi.org/10.1186/s12957-019-1592-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419360PMC
March 2019
2 Reads

The BRAF-inhibitor PLX4720 inhibits CXCL8 secretion in BRAFV600E mutated and normal thyroid cells: a further anti-cancer effect of BRAF-inhibitors.

Sci Rep 2019 Mar 13;9(1):4390. Epub 2019 Mar 13.

Unit of Internal Medicine and Endocrinology, ICS Maugeri I.R.C.C.S., Laboratory for Endocrine Disruptors and Chair of Endocrinology University of Pavia, 27100, Pavia, Italy.

CXCL8 is a chemokine secreted by normal and thyroid cancer cells with proven tumor-promoting effects. The presence of BRAFV600E mutation is associated with a more aggressive clinical behavior and increased ability to secrete CXCL8 by papillary-thyroid-cancer cells. Aim of this study was to test the effect of the BRAF-inhibitor (PLX4720) on the basal and TNF-α-induced CXCL8 secretions in BRAFV600E mutated (BCPAP, 8305C, 8505C), in RET/PTC rearranged (TPC-1) thyroid-cancer-cell-lines and in normal-human-thyrocytes (NHT). Read More

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http://dx.doi.org/10.1038/s41598-019-40818-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416278PMC
March 2019
1 Read

Transoral Vestibular Thyroidectomy: Current State of Affairs and Considerations for the Future.

J Clin Endocrinol Metab 2019 Mar 12. Epub 2019 Mar 12.

Division of Head and Neck Endocrine Surgery, Department of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine.

Context: The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a recently described procedure for surgical management of select thyroid pathology without the need for a cutaneous scar. TOETVA is far from the first described remote-access approach to the thyroid. In fact, numerous such techniques have been described over the past 20 years, although none have gained wide-spread implementation in North America or Europe. Read More

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https://academic.oup.com/jcem/advance-article/doi/10.1210/jc
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http://dx.doi.org/10.1210/jc.2019-00116DOI Listing
March 2019
5 Reads

Transoral endoscopic thyroidectomy using vestibular approach: A single center experience.

J Postgrad Med 2019 Mar 8. Epub 2019 Mar 8.

Department of Surgery, Seth GS Medical College, Parel, Mumbai, Maharashtra, India.

Background: Thyroid Natural Orifice Transluminal Endoscopic Surgery (NOTES) or transoral endoscopic thyroidectomy using vestibular approach is a recent advance embraced by the surgical community because of its potential for a scar-free thyroidectomy. In this article, we present our initial experience with this technique.

Materials And Methods: We used a three-port technique through the oral vestibule, one 10 mm port for the laparoscope and two additional 5 mm ports for the endoscopic instruments required. Read More

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http://dx.doi.org/10.4103/jpgm.JPGM_117_18DOI Listing
March 2019
2 Reads

Short Review: Genomic Alterations in Hürthle Cell Carcinoma.

Thyroid 2019 Apr;29(4):471-479

2 Department of Internal Medicine, Division of Endocrinology, Department of Biochemistry, Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas.

Hürthle cell tumors (HCT), including Hürthle cell adenomas (HCA) and Hürthle cell carcinomas (HCCs), arise in the thyroid gland and are defined in part by an accumulation of mitochondria. These neoplasms were long considered a subtype of follicular neoplasm, although HCT is now generally considered a distinct entity. HCTs exhibit overlapping but distinct clinical features compared to follicular tumors, and several studies have demonstrated that HCTs harbor distinct genomic alterations compared to other forms of thyroid cancer. Read More

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https://www.liebertpub.com/doi/10.1089/thy.2019.0088
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http://dx.doi.org/10.1089/thy.2019.0088DOI Listing
April 2019
9 Reads

A Method for Reconstruction of Anterior Commissure Glottal Webs With Endoscopic Fibro-Mucosal Flaps.

Ann Otol Rhinol Laryngol 2019 Mar;128(3_suppl):82S-93S

1 Department of Surgery, Harvard Medical School, Boston, MA, USA.

Background:: Anterior-commissure (AC) cicatrization and web formation is a difficult problem that can result from a variety of clinical scenarios. An advancement-rotation flap utilizing papillomatous epithelium and subepithelial fibrous tissue has been previously described. For patients in whom there was not excessive redundant papillomatosis covering the AC web, including other clinical scenarios, a microlaryngoscopic procedure was designed to lengthen the glottal/subglottal aperture using substantial local fibro-mucosal tissue. Read More

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http://dx.doi.org/10.1177/0003489418820031DOI Listing
March 2019
6 Reads

Transoral Robotic Thyroidectomy Versus Conventional Open Thyroidectomy: Comparative Analysis of Surgical Outcomes in Thyroid Malignancies.

J Laparoendosc Adv Surg Tech A 2019 Feb 20. Epub 2019 Feb 20.

5 Division for Endocrine and Minimal Invasive Surgery, Department of Human Pathology in Adulthood and Childhood "G.Barresi," University Hospital "G.Martino," University of Messina, Messina, Italy.

Background: Various approaches for thyroid surgery became possible with the use of robotic systems. Transoral robotic thyroidectomy (TORT) is one of the newest approaches and draws attention because of its cosmetic excellence. In this study, we compared the surgical outcomes of TORT and conventional open thyroidectomy (OT). Read More

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http://dx.doi.org/10.1089/lap.2018.0587DOI Listing
February 2019

Feasibility and safety of needle-assisted endoscopic thyroidectomy with lateral neck dissection for papillary thyroid carcinoma: a preliminary experience.

Head Neck 2019 Feb 18. Epub 2019 Feb 18.

Department of Thyroid and Vascular Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.

Background: Endoscopic thyroidectomy is popular among patients with cosmetic requirements. However, when lateral neck dissection (LND) is required, endoscopic surgery may be challenging. Therefore, we introduced needle-assisted endoscopic technique to achieve endoscopic LND procedure and evaluated its safety and feasibility in the present study. Read More

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http://dx.doi.org/10.1002/hed.25705DOI Listing
February 2019
1 Read

Synchronous primary sigmoid colon cancer and primary thyroid cancer followed by a malignant tumor of the kidney: Case report of multiple primary cancer and review of the literature.

Oncol Lett 2019 Feb 24;17(2):2479-2484. Epub 2018 Dec 24.

Department of Hepatobiliary Surgery, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China.

Multiple primary cancer (MPC) is relatively rare. With the development of diagnostic and anti-cancer therapeutic techniques, the incidence of MPC is rising annually. However, the incidence of triple or quadruple cancers in a single patient remains low. Read More

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http://dx.doi.org/10.3892/ol.2018.9867DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350185PMC
February 2019
2 Reads

Transoral Endoscopic Thyroidectomy for Thyroid Cancer.

Endocrinol Metab Clin North Am 2019 03;48(1):165-180

Minimally Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, 492/1, Rama 1 Road, Pathumwan, Bangkok 10330, Thailand. Electronic address:

The prevalence of low-risk differentiated thyroid cancer (DTC) is dramatically increasing because of superior diagnostic imaging technologies. Remote-access endoscopic thyroidectomy is becoming more popular for the lack of a noticeable neck scar. Transoral endoscopic thyroidectomy, vestibular approach (TOETVA) is the only technique that could be called a true scarless surgery; however, there is a scarcity of long-term studies about its safety and feasibility. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08898529183059
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http://dx.doi.org/10.1016/j.ecl.2018.11.009DOI Listing
March 2019
7 Reads

A Randomized, Controlled Trial Comparing White-Light with Near-Infrared Autofluorescence for Parathyroid Gland Identification during Total Thyroidectomy.

J Am Coll Surg 2019 Jan 30. Epub 2019 Jan 30.

Section of Minimally-Invasive Surgery, Department of General Surgery, Cleveland Clinic Florida, Weston, FL, USA.

Background: Parathyroid glands are difficult to identify during total thyroidectomies and accidental resection can lead to problematic post-operative hypocalcemia. Our main goals were to evaluate the effectiveness of using near-infrared light (NIRL) auto-fluorescence intra-operatively for parathyroid-gland identification; and to measure its impact on postoperative hypocalcemia incidence.

Study Design: Total thyroidectomies were performed on 170 patients with different thyroid pathologies, block-randomized (1:1) into 2 equal groups. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2018.12.044DOI Listing
January 2019
9 Reads

[A preliminary prospective study on the efficacy and safety of ultrasound-guided percutaneous lauromacrogol sclerotherapy in benign cystic or predominantly cystic thyroid nodules].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Jan;54(1):33-37

Department of Endocrinology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.

To investigate the efficacy and safety of percutaneous lauromacrogol injection (PLI) in treatment of cystic or predominantly cystic thyroid nodules. A total of 114 cystic thyroid nodules and 61 predominantly cystic thyroid nodules with pain or uncomfort or aesthetic complaints were offered PLI. Therapeutic success rates and side effects were evaluated. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.01.008DOI Listing
January 2019

[A Patient with Multiple Pancreatic Metastases Undergoing Total Pancreatectomy 18 Years after Renal Cell Carcinoma Resection].

Gan To Kagaku Ryoho 2018 Dec;45(13):2214-2216

Dept. of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University Graduate School of Medicine.

A 71-year-old woman underwent right nephrectomy for the treatment of clear cell renal cell carcinoma at the age of 53. After 15 years, surgical removal of a solitary tumor was performed in the right adrenal gland and thyroid gland; both were diagnosed as metastases of renal cell carcinoma. Eighteen years after the initial resection, computed tomography(CT) showed multiple hypervascular tumors spreading across the entire area of the pancreas. Read More

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December 2018
5 Reads

Drainage During Endoscopic Thyroidectomy.

JSLS 2019 Jan-Mar;23(1)

Thyroid and Breast Surgery, Ningbo Medical Center Lihuili Eastern Hospital.

Background: Conventional cervical drainage tubes are placed crossing the suprasternal fossa during endoscopic thyroidectomy. In our clinical experience, some patients show shallow or absent suprasternal fossa, which affects the cosmetic outcome in the patient. Therefore, this study aimed to assess the feasibility and significance of restoring the suprasternal fossa by changing the position of neck drainage tubes. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333566/
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http://dx.doi.org/10.4293/JSLS.2018.00060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333566PMC
March 2019
7 Reads

Efficacy of fluoroscopy-guided endoscopic cricopharyngeal myotomy.

J Laryngol Otol 2018 Dec;132(12):1128-1133

Department of Otolaryngology, Head and Neck Surgery,Faculty of Medicine,Tottori University,Yonago,Japan.

Background: In endoscopic cricopharyngeal myotomy, surgeons sometimes have concerns about performing an adequate incision with only a narrow intra-cavital view from one direction. In order to overcome these issues, fluoroscopic radiography was used during endoscopic cricopharyngeal myotomy.

Methods: Peri-operative fluoroscopic radiography was utilised to check the position of the diverticuloscope, and to confirm the extent of the incision during surgery. Read More

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http://dx.doi.org/10.1017/S0022215118002232DOI Listing
December 2018
11 Reads

Minimally invasive thyroid anaplastic carcinoma with long survival.

Turk J Surg 2018 Dec 1;34(4):319-322. Epub 2018 Dec 1.

Department of General Surgery, Marmara University School of Medicine, İstanbul, Turkey.

Anaplastic thyroid carcinoma is a highly lethal malignancy. Previously, only five cases of a noninvasive form of anaplastic thyroid carcinoma with excellent prognosis were reported. We report a case of a 68-year-old man who presented with a 3. Read More

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http://dx.doi.org/10.5152/turkjsurg.2017.3383DOI Listing
December 2018
4 Reads

New Paradigms for Neural Monitoring in Thyroid Surgery.

Surg Technol Int 2019 Jan 18;34. Epub 2019 Jan 18.

Ospedale di Circolo di Varese, Varese, Italy.

Intraoperative neuromonitoring (IONM) in thyroid gland surgery provides real-time feedback to the endocrine surgeon regarding the electrophysiological consequences of surgical manipulation of the laryngeal nerves. The goal of monitoring modalities is to detect surgical or physiological insults to the recurrent laryngeal nerve (RLN) while they are still reversible or, in cases where prevention is not an option, to minimize the damage done to these structures during thyroidectomy. In recent decades, monitoring of the RLN has become a fundamental part of endocrine surgery. Read More

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January 2019
23 Reads

Investigation on EMG Profiles of the Superior Laryngeal Nerve in a In Vivo Porcine Model.

J Invest Surg 2019 Jan 15:1-9. Epub 2019 Jan 15.

b Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood ''G. Barresi'' , University Hospital G. Martino, University of Messina , Messina , Italy.

Background: The electromyographic (EMG) profiles of external branch of the superior laryngeal nerve (EBSLN) have been defined and the optimal intensity of the stimulation of EBSLN in an in vivo porcine model has been explored.

Materials: EMG was simultaneously registered by the surface of endotracheal tube and needle electrodes by applying a monopolar stimulation probe in 12 piglets (22 EBSLNs). Vagal nerve (VN), RLN and EBSLN were excited to record the EMG tracings and cricothyroid muscle twitch (CTM). Read More

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http://dx.doi.org/10.1080/08941939.2018.1547462DOI Listing
January 2019
4 Reads

Schwannoma originating from the recurrent laryngeal nerve in a thyroid cancer patient: A case report and review of the literature.

World J Clin Cases 2018 Dec;6(16):1202-1205

Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

Background: Schwannoma rarely originates from the recurrent laryngeal nerve, and there are few reports on schwannoma originating from the recurrent nerve in the mediastinum. Herein, we present an extremely rare case of schwannoma originating from the recurrent laryngeal nerve in the neck.

Case Summary: This is a case report of one patient diagnosed with thyroid cancer with schwannoma originating from the recurrent laryngeal nerve in the neck, which was incidentally found during a thyroidectomy, and a review of the literature. Read More

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http://dx.doi.org/10.12998/wjcc.v6.i16.1202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306646PMC
December 2018

Applicability of transoral robotic thyroidectomy: Is it the final solution?

J Surg Oncol 2019 Mar 4;119(4):541-542. Epub 2019 Jan 4.

Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood "Gaetano Barresi," University Hospital G. Martino, University of Messina, Messina, Italy.

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http://dx.doi.org/10.1002/jso.25362DOI Listing
March 2019
1 Read

Differences in treatment outcomes between ultrasound-guided percutaneous microwave ablation and endoscopic thyroidectomy for patients with papillary thyroid microcarcinoma: Protocol for a systematic review and meta-analysis.

Medicine (Baltimore) 2019 Jan;98(1):e13953

Department of Medical Ultrasound.

Background: The differences in treatment outcomes between ultrasound (US)-guided percutaneous microwave ablation (PMWA) and endoscopic thyroidectomy for patients with papillary thyroid microcarcinoma (PTMC) remains unknown.

Methods: An electronic search will be performed for randomized controlled trials or observational studies that reported recurrence and mortality rates in PTMC patients with US-guided PMWA or endoscopic thyroidectomy. Hazard ratios with their 95% confidence intervals will be calculated using fixed- or random-effects models according to heterogeneity. Read More

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http://dx.doi.org/10.1097/MD.0000000000013953DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344203PMC
January 2019
3 Reads

Vascular interventions in head and neck cancer patients as a marker of poor survival.

J Vasc Surg 2019 01;69(1):181-189

Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, Va. Electronic address:

Objective: Head and neck cancer can involve the surrounding vasculature and require technically challenging vascular interventions. These interventions can be complicated by tumor invasion, history of prior surgery, and history of radiation therapy. Our aim was to examine patients with vascular interventions in association with head and neck cancer to determine outcomes and best practice. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.04.058DOI Listing
January 2019
2 Reads

Double pyramid technique of transoral laser partial laryngectomy for radiorecurrent laryngeal cancer.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Department of Otorhinolaryngology, Ninewells Hospital, NHS Tayside, Dundee, UK.

Management of recurrent head and neck cancer is challenging. Surgical treatments for residual or radiorecurrent laryngeal cancer include total laryngectomy, open partial laryngectomy and transoral laser microsurgery (TLM). TLM has been shown to achieve good oncological and functional outcomes in radiorecurrent laryngeal cancer. Read More

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http://dx.doi.org/10.1136/bcr-2018-224915DOI Listing
November 2018
2 Reads

Fine-needle aspiration biopsies of thyroid nodules.

Nuklearmedizin 2018 Dec 18;57(6):211-215. Epub 2018 Dec 18.

Objective: The purpose of the study was the characterization of adverse events (AEs) after fine-needle aspiration biopsies (FNABs) of thyroid nodules, as well as possible predisposing factors.

Methods: A total of 205 patients, each of whom had undergone an FNAB of a thyroid nodule, were included in the study (15 of whom were taking anticoagulant medication). The thyroid nodules were classified according to the ultrasound criteria of the American Thyroid Association (ATA). Read More

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http://dx.doi.org/10.3413/Nukmed-0981-18-06DOI Listing
December 2018
4 Reads

[Robot-assisted transaxillary thyroidectomy: our early experience].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jul;32(14):1051-1055

Department of Otolaryngology, Sun Yat-sen Memorial Hospital,Sun Yat-sen University, Guangzhou, 510120, China.

To evaluate the feasibility, effectiveness and safety of robot-assisted transaxillary thyroidectomy (RATT). The clinical data of 66 patients undergoing RATT from November 2016 to May 2018 were prospectively collected and analyzed. The average age was (38. Read More

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http://www.cnki.net/kcms/doi/10.13201/j.issn.1001-1781.2018.
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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.14.003DOI Listing
July 2018
11 Reads

Thyroid incidentaloma as a "PAIN" phenomenon- does it always require surgery?

Medicine (Baltimore) 2018 Dec;97(49):e13339

First Department and Clinic of General, Gastroenterological and Endocrine Surgery.

A thyroid nodule discovered during imaging study performed due to unrelated thyroid disease is known as a thyroid incidentaloma, while positron emission tomography (PET) associated incidental neoplasm of thyroid is known as a "PAIN" phenomenon.To evaluate which patients with "PAIN" phenomenon should undergo surgery in regards to cytology results.Retrospective review of 4716 patients consecutively admitted and surgically treated in tertiary surgical center. Read More

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http://dx.doi.org/10.1097/MD.0000000000013339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310517PMC
December 2018
2 Reads

Surgical management of intrathoracic goitres.

Eur Arch Otorhinolaryngol 2019 Feb 30;276(2):305-314. Epub 2018 Nov 30.

Otorhinolaryngology Head and Neck Surgery, University of Udine School of Medicine, Udine, Italy.

Background: Intrathoracic goitres (ITG) often present with compressive symptoms and require specialised care by experienced surgical teams. Most ITG can be accessed by a transcervical approach (TCA) and only between 1 and 15% will require an extracervical approach (ECA). Many controversies exist regarding the clinical presentation, evaluation, selection of cases for ECA, surgical technique and outcomes. Read More

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http://link.springer.com/10.1007/s00405-018-5213-z
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http://dx.doi.org/10.1007/s00405-018-5213-zDOI Listing
February 2019
12 Reads

Gasless, transaxillary robotic neck dissection: the technique and evidence.

Gland Surg 2018 Oct;7(5):466-472

Department of Surgery, Yonsei University College of Medicine, Seodaemun-gu, Seoul, South Korea.

Robotic neck dissection (ND) for the thyroid cancer with lateral neck metastasis case is one of the emerging surgical techniques, and has been highlighted as minimally invasive surgical technique recently. Gasless, transaxillary robotic approach enabled the surgeon to do meticulous and precise dissection in the complex procedure, such as ND, eventually showed favorable surgical safety and outcomes, as well as superior functional and cosmetic benefits. In this article, the author would like to introduce the detailed techniques and secure evidences for the gasless, transaxillary robotic ND. Read More

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http://gs.amegroups.com/article/view/17039/21357
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http://dx.doi.org/10.21037/gs.2017.09.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234241PMC
October 2018
12 Reads

Percutaneous laser ablation of benign thyroid nodules: a one year follow-up study.

Einstein (Sao Paulo) 2018 Nov 29;16(4):eAO4279. Epub 2018 Nov 29.

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Objective: To evaluate safety and effectiveness of nodule volume reduction and thyroid function after percutaneous laser ablation treatment in patients with benign nonfunctioning thyroid nodules.

Methods: Prospective single-center study, from January 2011 to October 2012, which evaluated 30 euthyroid and thyroid antibodies negative patients with benign solitary or dominant nodule with indication of treatment due to compressive symptoms and aesthetic disturbances. The clinical and laboratory (thyroid ultrasound, TSH, FT4, TG, TG-Ab, TPO-Ab and TRAb levels) evaluations were performed before the procedure, and periodically 1 week, 3 months and 6 months after. Read More

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https://journal.einstein.br/pt-br/article/ablacao-percutanea
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http://dx.doi.org/10.31744/einstein_journal/2018AO4279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276810PMC
November 2018
14 Reads

How does neural monitoring help during thyroid sugery for Graves' disease?

J Clin Transl Endocrinol 2019 Mar 20;15:6-11. Epub 2018 Nov 20.

Division of Head and Neck Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

We evaluate the role of intraoperative neuromonitoring (IONM) in thyroidectomy performed for Graves' disease (GD) with an emphasis on recurrent laryngeal nerve (RLN) management and completeness of resection. The study is a retrospective series comprising 55 thyroidectomy (control group) versus 82 procedures with intermittent IONM (I-IONM) and 72 by means of continuous IONM (C-IONM). In the control group the laryngeal nerves have been identified by visualization solely. Read More

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http://dx.doi.org/10.1016/j.jcte.2018.11.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258110PMC
March 2019
13 Reads

Glottic configuration changes and outcomes of endoscopic arytenoid abduction lateropexy.

Eur Arch Otorhinolaryngol 2019 Jan 27;276(1):167-173. Epub 2018 Nov 27.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Szeged, 111. Tisza L. krt, Szeged, 6725, Hungary.

Introduction: Endoscopic arytenoid abduction lateropexy (EAAL) is an effective glottis enlarging procedure for the treatment of bilateral vocal cord palsy (BVCP). The postoperative glottic configuration changes can be evaluated by modern, high-resolution, 3D image reconstructions. Functional results are described by spirometry as well as objective and subjective phoniatric tests. Read More

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http://dx.doi.org/10.1007/s00405-018-5215-xDOI Listing
January 2019
15 Reads

Diagnosis, anatomy, and electromyography profiles of 73 nonrecurrent laryngeal nerves.

Head Neck 2018 Dec 22;40(12):2657-2663. Epub 2018 Nov 22.

Jilin Provincial Key Laboratory of Surgical Translational Medicine, China Japan Union Hospital of Jilin University, Division of Thyroid Surgery, Changchun City, Jilin Province, China.

Background: The purpose of this work was to compare methods of detecting nonrecurrent laryngeal nerves (NRLNs).

Methods: Specificity and sensitivity were compared in three NRLN detection methods: CT, electromyography (EMG), and A-B point comparison.

Results: A total of 73 intraoperative pictures and 36 CT details of NRLNs are presented. Read More

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http://dx.doi.org/10.1002/hed.25391DOI Listing
December 2018
15 Reads

Guided intraoperative scintigraphic tumor targeting of metastatic cervical lymph nodes in patients with differentiated thyroid cancer: a single-center report.

Arch Endocrinol Metab 2018 Oct;62(5):495-500

Department of Endocrinology and Metabolism, Faculty of Medicine, Gazi University, Ankara, Turkey.

Objective: Our aim was to present our experiences related to performing neck surgery using the guided intraoperative scintigraphic tumor targeting (GOSTT) procedure for patients who had locally recurrent or persistent differentiated thyroid cancer (DTC) and who had undergone previous thyroid surgery.

Subjects And Methods: We retrospectively evaluated 11 patients who had locally recurrent or persistent DTC, who had undergone previous surgery, and for whom reoperation was planned for metastatic cervical lymph nodes (LNs). We performed the neck surgery using the GOSTT procedure on all patients and at a single academic institution. Read More

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http://dx.doi.org/10.20945/2359-3997000000068DOI Listing
October 2018
20 Reads

Transoral vestibule approach for thyroid disease: a systematic review.

Eur Arch Otorhinolaryngol 2019 Feb 20;276(2):297-304. Epub 2018 Nov 20.

Department of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, 230032, Anhui, People's Republic of China.

Objectives: Transoral endoscopic/robotic thyroidectomy vestibule approach (TOETVA/TORTVA) is a novel technology that has been proposed for the treatment of thyroid disease. Its adoption has increased because of its satisfying cosmetic effects. The primary aim of this systematic review was to assess the feasibility and safety of this approach, and the secondary aim was to discuss the indications for this technology. Read More

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http://dx.doi.org/10.1007/s00405-018-5206-yDOI Listing
February 2019
13 Reads
1.608 Impact Factor

Summary of the 2017 thyroid radiofrequency ablation guideline and comparison with the 2012 guideline.

Ultrasonography 2019 Apr 27;38(2):125-134. Epub 2018 Sep 27.

Department of Radiology, GangNeung Asan Hospital, Gangneung, Korea.

Radiofrequency ablation (RFA) is a new, minimally invasive modality that serves as an alternative to surgery in patients with thyroid tumors. The Task Force Committee of the Korean Society of Thyroid Radiology developed recommendations for the optimal use of RFA for thyroid tumors in 2012 and revised them in 2017. Herein, we review and summarize the 2017 thyroid RFA guideline and compare it with the 2012 thyroid RFA guideline. Read More

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http://dx.doi.org/10.14366/usg.18044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443588PMC
April 2019
15 Reads

IONM and minimally invasive videoassisted thyroidectomy.

G Chir 2018 Sep-Oct;34(5):291-296

Background: We know that benefits of MIVAT are related to a better cosmetic result and lower post-operative pain in comparison to CT. The incidence of nerve cold palsy is related to a correct identification of the recurrent laringeal nerve (RLN) as standard procedure in thyroid surgery. From September 2014 we have introduced the use of intraoperative neural monitoring(I-IONM) in all thyroidectomies in the Unit of General Surgery of University Hospital of Parma, including in MIVAT. Read More

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November 2018
1 Read

Percutaneous laser ablation for benign and malignant thyroid diseases.

Ultrasonography 2019 Jan 17;38(1):25-36. Epub 2018 Sep 17.

Unit of Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Minimally invasive image-guided thermal ablation is becoming increasingly common as an alternative to surgery for the treatment of benign thyroid nodules. Among the various techniques for thermal ablation, laser ablation (LA) is the least invasive, using the smallest applicators available on the market and enabling extremely precise energy deposition. However, in some cases, multiple laser fibers must be used simultaneously for the treatment of large nodules. Read More

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http://dx.doi.org/10.14366/usg.18034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323312PMC
January 2019
26 Reads

Pediatric Bronchogenic Cysts: A Case Series of Six Patients Highlighting Diagnosis and Management.

J Invest Surg 2018 Nov 15:1-6. Epub 2018 Nov 15.

a Department of Otolaryngology-Head and Neck Surgery , Philadelphia College of Osteopathic Medicine , Philadelphia , PA , USA.

Purpose: To present six cases of bronchogenic cysts while highlighting the diagnosis and management of this anomaly.

Materials And Methods: A retrospective chart review was conducted using our institution's Pathology database. The database was queried for "bronchogenic cyst. Read More

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https://www.tandfonline.com/doi/full/10.1080/08941939.2018.1
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http://dx.doi.org/10.1080/08941939.2018.1527419DOI Listing
November 2018
16 Reads