3,999 results match your criteria Minimally Invasive Surgery of the Thyroid


Conspicuousness and recurrence related factors of ultrasound-guided microwave ablation in the treatment of benign thyroid nodules.

BMC Surg 2021 Aug 3;21(1):317. Epub 2021 Aug 3.

Department of Thyroid, Parathyroid Surgery Center, West China Hospital, Sichuan University, Chengdu, 610041, China.

Objective: Microwave ablation (MWA) is a minimally invasive technique for the treatment of benign thyroid nodules. The purpose of this study was to evaluate efficacy and safety of ultrasound-guided MWA in the treatment of benign thyroid nodules, and to find out the recurrence related factors, so as to provide reference for future clinical work.

Methods: This study retrospectively analyzed the patients who received ultrasound-guided MWA for benign thyroid nodules in our hospital from October 2018 to March 2020. Read More

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Current practice of thyroid surgery in Germany: a nationwide survey.

Minerva Surg 2021 Aug 2. Epub 2021 Aug 2.

University of Münster, Münster, Germany.

Background: Due to the lack of perioperative standards in thyroid surgery, this study aimed to evaluate the perioperative management and wound closure techniques used in a nationwide survey.

Material And Methods: A questionnaire evaluating preferred technique in thyroid resection, postoperative management, and the occurrence of complications was sent to all hospitals in Germany performing more than 50 thyroid operations p.a. Read More

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Minimally Invasive Video-Assisted Thyroidectomy (MIVAT): How to do it (with video).

Eur Ann Otorhinolaryngol Head Neck Dis 2021 Jul 29. Epub 2021 Jul 29.

Servicio de ORL, Hospital HM Rosaleda, Rúa de Santiago León de Caracas, 1, 15701 Santiago de Compostela, Spain. Electronic address:

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Late Onset of an Overlooked Follicular Thyroid Carcinoma Presenting as a Chest Wall Tumor 10 Years Following Thyroidectomy.

AACE Clin Case Rep 2021 Jul-Aug;7(4):268-272. Epub 2021 Mar 5.

Department of General Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Objective: Metastatic chest wall tumors resulting from thyroid carcinomas are not unusual; however, the late onset of metastasis of a follicular thyroid carcinoma (FTC) is extremely rare. We aim to present a report of a case with chest wall metastasis of an FTC 10 years following thyroidectomy.

Methods: Among the studies performed were chest wall tumor imaging, serum thyroid stimulating hormone determination, and histopathology of the chest wall tumor and thyroid tissue examination. Read More

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[Comparison of the diagnostic value of high frequency ultrasound and ultrasound-guided fine needle aspiration biopsy in papillary thyroid microcarcinoma].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Aug;35(8):718-723

Department of Head and Neck Thyroid Surgery,Affiliated Hospital of Zhengzhou University,Henan Cancer Hospital,Zhengzhou,450008,China.

To explore the application value of high frequency ultrasound and ultrasound-guided fine needle aspiration biopsy(US-FNAB) in the diagnosis of papillary thyroid microcarcinoma(PTMC), and to compare the characteristics and value of the two methods, so as to find a more convenient and non-invasive diagnostic method of PTMC, reduce unnecessary puncture and operation. The data of 190 postoperative pathologically confirmed PTMC patients admitted to Henan Province Cancer Hospital and Henan Provincial Hospital from January to June 2020 were retrospectively analyzed, with a total of 305 nodules, including 198 PTMC nodules and 107 benign thyroid nodules(BTN). According to the postoperative pathological results, they were divided into groups, and the relationship between the ultrasound appearance of the nodules and whether the cervical lymph nodes could be explored and PTMC was analyzed by chi-square test and logistic regression, and its diagnostic value was evaluated. Read More

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[Ultrasound-guided local injection of dexamethasone and lidocaine into subcapsule for subacute thyroiditis].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Jul;35(7):613-616

Department of Breast and Thyroid Surgery,the Third Affiliated Hospital of Zunyi Medical University(The First People's Hospital of Zunyi.

To compare the efficacy and safety of ultrasound-guided local injection of the mixture of dexamethasone(DEX) with lidocaine and oral prednisolone(PSL) in treating patients with subacute thyroiditis. Ninety-three patients with subacute thyroiditis were divided into group A(=48) and Group B(=45). Group A was treated with ultrasound-guided subcapsular injection in thyroid lesion area, while group B was treated with oral medication. Read More

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Atypia and Follicular Lesions of Undetermined Significance in Subsequent Biopsy Result: What Clinicians Need to Know.

J Clin Med 2021 Jul 12;10(14). Epub 2021 Jul 12.

Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Borowska Street 213, 50-556 Wroclaw, Poland.

Atypia and follicular lesions of undetermined significance (AUS/FLUS) is the most controversial category of The Bethesda System. The risk of malignancy (ROM) in this group is estimated as 5-15%, however, the occurrence of two or more subsequent biopsy results with AUS/FLUS diagnosis makes these clinical situations more complex. We evaluated the ROM and prognostic value of aggressive ultrasound (US) features in 342 patients with thyroid nodules (TNs) with subsequent biopsy results of AUS/FLUS. Read More

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The sensorimotor changes of the lower lip and chin after transoral endoscopic thyroidectomy vestibular approach.

Updates Surg 2021 Jul 21. Epub 2021 Jul 21.

Department of Otolaryngology Head and Neck Surgery, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, No. 20 Yuhuangding East Road, Yantai, 264000, China.

The transoral endoscopic thyroidectomy vestibular approach (TOETVA) can lead to abnormal sensorimotor changes in the lower lip and chin because of its incision design. This study aimed to explore the surgical outcomes of these changes after TOETVA. A total of 122 patients who underwent TOETVA were reviewed. Read More

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Ultrasound-Guided Radiofrequency Ablation Versus Thyroid Lobectomy for Low-Risk Papillary Thyroid Microcarcinoma: A Propensity-matched Cohort Study of 884 Patients.

Thyroid 2021 Jul 16. Epub 2021 Jul 16.

Chinese PLA General Hospital, 104607, Beijing, Beijing, China;

Background: Thermal ablation (TA) has been applied in patients with low-risk papillary thyroid microcarcinoma (PTMC) who refuse surgery or active surveillance (AS). Recently, TA is also proposed as a potential therapeutic option for patients who are suitable for surgery or AS. However, the clinical outcomes of TA versus surgery remains controversial because of lacking sufficient data. Read More

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Drawbacks of neural monitoring troubleshooting algorithms in transoral endoscopic thyroidectomy.

Langenbecks Arch Surg 2021 Jul 15. Epub 2021 Jul 15.

Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, 126 Xiantai Blvd, Changchun City, Jilin Province, China.

Introduction: The application of intraoperative neural monitoring (IONM) trouble-shooting algorithms procedures in transoral endoscopic thyroidectomy vestibular approach (TOETVA) was investigated.

Methods: Loss of signal (LOS) is defined as a loss of the primary electromyographic (EMG) normal biphasic waveform with reduced amplitude response to less than 100μV with a stimulation level intensity of 1-2mA. A systematic review of the IONM system at LOS was covered methodically: (i) correct endotracheal tube verification, (ii) stimulation of the recurrent laryngeal nerve (RLN) at entry point, (iii) ipsilateral or contralateral vagal nerve (VN) stimulation, and (iv) laryngeal twitch (LT). Read More

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Factors related to oxygen desaturation during flexible bronchoscopy and endobronchial ultrasound.

Tuberk Toraks 2021 Jun;69(2):144-152

Hacettepe University Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey.

Introduction: Oxygen desaturation is a significant event during bronchoscopy. In this study, it was aimed to identify factors related to oxygen desaturation during flexible bronchoscopy (FB) and Endobronchial ultrasound (EBUS).

Materials And Methods: From 16 April 2019 to 14 February 2020, 196 consecutive patients (146 FB and 50 EBUS) undergoing bronchoscopy were evaluated retrospectively. Read More

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Update of Radiofrequency Ablation for Treating Benign and Malignant Thyroid Nodules. The Future Is Now.

Front Endocrinol (Lausanne) 2021 24;12:698689. Epub 2021 Jun 24.

The University of Udine School of Medicine, International Head and Neck Scientific Group, Padua, Italy.

Thermal and chemical ablation are minimally invasive procedures that avoid removal of the thyroid gland and target symptomatic nodules directly. Internationally, Radiofrequency ablation (RFA) is among one of the most widely used thermal ablative techniques, and is gaining traction in North America. Surgery remains the standard of care for most thyroid cancer, and in the right clinical setting, Active Surveillance (AS) can be a reasonable option for low risk disease. Read More

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Isthmus topography is a risk factor for persistent disease in patients with differentiated thyroid cancer.

Eur J Endocrinol 2021 Aug 3;185(3):397-404. Epub 2021 Aug 3.

Thyroid Committee, European Association of Nuclear Medicine, Vienna, Austria.

Aim: The risk of differentiated thyroid cancer (DTC) recurrence is widely evaluated according to the 2015 ATA Risk Stratification System. Topography of malignant nodules has been previously reported as an additional risk factor but is not included in the ATA system. Thus, our study aimed to evaluate the relationship between DTC topography and response to initial therapy. Read More

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Qin's seven steps for endoscopic selective lateral neck dissection via the chest approach in patients with papillary thyroid cancer: experience of 35 cases.

Surg Endosc 2021 Jul 6. Epub 2021 Jul 6.

Department of Minimally Invasive Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of TCM), Guangzhou, 510120, People's Republic of China.

Background: Endoscopic thyroidectomy is widely performed as it does not result in neck scar. However, there is a paucity of reports pertaining to completely endoscopic lateral neck dissection (LND). In this study, we introduce our step-wise approach for performing endoscopic selective LND via the chest-breast approach. Read More

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Salvage carbon dioxide transoral laser microsurgery for laryngeal cancer after (chemo)radiotherapy: a European Laryngological Society consensus statement.

Eur Arch Otorhinolaryngol 2021 Jul 5. Epub 2021 Jul 5.

Department of Otorhinolaryngology-Head and Neck Surgery, Head, Neck and Thyroid Cancer Unit, Guy's and St Thomas Hospital NHS Foundation Trust, London, UK.

Purpose: To provide expert opinion and consensus on salvage carbon dioxide transoral laser microsurgery (CO TOLMS) for recurrent laryngeal squamous cell carcinoma (LSCC) after (chemo)radiotherapy [(C)RT].

Methods: Expert members of the European Laryngological Society (ELS) Cancer and Dysplasia Committee were selected to create a dedicated panel on salvage CO TOLMS for LSCC. A series of statements regarding the critical aspects of decision-making were drafted, circulated, and modified or excluded in accordance with the Delphi process. Read More

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Modulation of ACE-2 mRNA by inflammatory cytokines in human thyroid cells: a pilot study.

Endocrine 2021 Jul 5. Epub 2021 Jul 5.

Laboratory for Endocrine Disruptors, Unit of Internal Medicine and Endocrinology, Istituti Clinici Scientifici Maugeri IRCCS, 27100, Pavia, PV, Italy.

Introduction: Angiotensin-converting-enzyme-2 (ACE-2) was demonstrated to be the receptor for cellular entry of SARS-CoV-2. ACE-2 mRNA was identified in several human tissues and recently also in thyroid cells in vitro.

Purpose: Aim of the present study was to investigate the effect of pro-inflammatory cytokines on the ACE-2 mRNA levels in human thyroid cells in primary cultures. Read More

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Laparoscopic specimen extraction in vitro: preliminary experience.

BMC Surg 2021 Jul 1;21(1):305. Epub 2021 Jul 1.

Department of Urology, Cancer Hospital of Guangxi Medical University & Guangxi Cancer Research Institute, Nanning, 530021, People's Republic of China.

Background: The last procedure performed by the surgeon in laparoscopic surgery is to extract the specimen through the smallest incision possible. This experiment aimed to explore the maximum diameter of specimens that can be extracted through auxiliary incisions of different lengths and shapes by in vitro physical experiments.

Materials And Methods: We used the abdominal wall with the muscle layer, fixed on a square wooden frame, to simulate the human abdominal wall. Read More

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Comparison of Surgical Outcomes between Robotic Transaxillary and Conventional Open Thyroidectomy in Pediatric Thyroid Cancer.

Cancers (Basel) 2021 Jun 30;13(13). Epub 2021 Jun 30.

Department of Surgery, Yonsei University College of Medicine, Severance Hospital, Seoul 03722, Korea.

Thyroid cancer in children is very uncommon. For pediatric thyroid cancer, robotic surgery has served as a minimally invasive surgical alternative to conventional open surgery. Our study aimed to evaluate the results of robotic versus open surgical treatment for patients with thyroid cancer younger than 20 years of age at the time of diagnosis. Read More

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Current Status and Challenges of US-Guided Radiofrequency Ablation of Thyroid Nodules in the Long Term: A Systematic Review.

Cancers (Basel) 2021 Jun 1;13(11). Epub 2021 Jun 1.

U.O.S. Malattie Metaboliche, Ospedale Santa Maria Goretti, 04100 Latina, Italy.

Background: US-guided minimally-invasive techniques, such as radiofrequency ablation (RFA) have emerged as an alternative treatment for benign and malignant thyroid nodules. This systematic review aims to provide an overview on the long-term outcomes of US-guided RFA in patients with benign and malignant thyroid nodules.

Methods: We systematically searched PubMed/MEDLINE, EMBASE, and Scopus to identify articles reporting the outcomes of thyroid RFA after a follow-up of at least 3 years. Read More

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Trans Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) in Brazil: Safety and complications during learning curve.

Arch Endocrinol Metab 2021 Jun;65(3):259-264

Head and Neck Endocrine Surgery, Otolaryngology-Head and Neck Surgery, Johns Hopkins Medicine, Baltimore, USA.

Objective: The aim of this study was to address the first cases of TOETVA done in Brazil, by TOETVA-Bra study group, regarding safety and complications.

Methods: Series of the first 93 TOETVAs cases in Brazil. All authors except LPK, AJG JOR and RPT received TOETVA training including cadaveric hands-on in Thailand or United States (Johns Hopkins Medicine) during 2017. Read More

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The relationship between lipotoxicity and risk of extrathyroidal extension in papillary thyroid microcarcinoma.

Endocrine 2021 Jun 30. Epub 2021 Jun 30.

Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Control, Changchun, Jilin Province, China.

Objective: To explore the relationship between triglyceride (TG) levels and aggressive pathological characteristics in papillary thyroid microcarcinoma (PTMC) patients, especially the relationship between TG, BMI, age, and extrathyroidal extension (ETE).

Methods: A retrospective analysis of 9663 patients with PTMC in a single center from 2010 to 2017 was included in this study. Binary logistic regression was used to analyze the relationship between serum TG and aggressive pathological characteristics of PTMC in different genders. Read More

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Case Report: Modified Thoracoscopic-Assisted Cervical Resection for Retrosternal Goiter.

Front Surg 2021 9;8:695963. Epub 2021 Jun 9.

Department of Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.

The treatment of choice for retrosternal goiters (RSG) is surgical resection to relieve symptoms and rule out malignancy. Although the majority of RSG can be removed by a cervical approach only, an extracervical approach (e.g. Read More

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European Thyroid Association and Cardiovascular and Interventional Radiological Society of Europe 2021 Clinical Practice Guideline for the Use of Minimally Invasive Treatments in Malignant Thyroid Lesions.

Eur Thyroid J 2021 Jun 25;10(3):185-197. Epub 2021 May 25.

Department of Endocrinology & Metabolism, Ospedale Regina Apostolorum, Albano, Italy.

The growing detection of papillary thyroid microcarcinomas (PTMCs) is paralleled by an increase in surgical procedures. Due to the frequent indolent nature, cost, and risk of surgery, active surveillance (AS) and ultrasound-guided minimally invasive treatments (MITs) are in suitable cases of incidental PTMC proposed as alternatives to thyroidectomy. Surgery and radioiodine are the established treatments for relapsing cervical differentiated thyroid carcinoma (DTC) metastases. Read More

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The role of ultrasound measurements and cosmetic scoring in evaluating the effectiveness of ethanol ablation in cystic thyroid nodules.

Int J Clin Pract 2021 Jun 25:e14573. Epub 2021 Jun 25.

Department of General Surgery, Faculty of Medicine, Yeditepe University, Istanbul, Turkey.

Background: A minimally invasive approach has been adopted to treat benign cystic nodules in recent years, with ethanol ablation (EA) being used as a more common method in routine treatment. For this study, we aimed to investigate the change of nodule volumes and cosmetic scores before and after EA in benign thyroid nodules and the effectiveness of treatment. Therefore, ultrasound data and cosmetic scores of pure cystic, mixed-type and spongy-type benign thyroid nodules undergoing EA in the last two years were reviewed retrospectively. Read More

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Efficacy and safety of single-session radiofrequency ablation for intrathoracic goiter: preliminary results and short-term evaluation.

Int J Hyperthermia 2021 ;38(1):976-984

Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background: An intrathoracic goiter (ITG) is defined as a thyroid extension below the sternal notch. Compared to cervical goiters, surgery for ITG is more challenging, with a higher risk of an extracervical approach. Ultrasound (US)-guided radiofrequency ablation (RFA) is a minimally invasive treatment modality. Read More

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Granulomatous mastitis in multiparae during pregnancy and lactation: Observational study (STROBE compliant).

Medicine (Baltimore) 2021 Jun;100(25):e25912

Breast Department of Haidian Maternal & Child Health Hospital, Beijing, China.

Abstract: The incidence of granulomatous mastitis (GLM) in multiparae as seriously affected the quality of life and breastfeeding of pregnant women after delivery, but the treatment is rarely reported. In this article, the development, healing, and lactation of 13 cases were reported and a retrospective analysis was performed. 10 cases of GLM were treated at the Breast Disease Prevention and Treatment Center of Haidian Maternal & Child Health Hospital of Beijing and 3 cases of GLM were treated in the Breast Department of Weihai Municipal Hospital of Shandong province from February 2017 to May 2019. Read More

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Recent Trends in Surgical Approach to Thyroid Cancer.

Front Endocrinol (Lausanne) 2021 2;12:699805. Epub 2021 Jun 2.

Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.

Over the past decade, the incidence of thyroid cancer has rapidly increased worldwide, and thyroid surgery has become one of the most common performed surgical procedure. Even though conventional open thyroidectomy remains the gold standard, this approach leaves a neck scar which could be worrying mainly for young women. The recent progress in surgical technology, as well as patient cosmetic requests, have led to the development of alternative access to the thyroid lodge. Read More

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Ultrasound-guided thermal ablation for papillary thyroid microcarcinoma: a multicenter retrospective study.

Int J Hyperthermia 2021 ;38(1):916-922

Department of Ultrasound, the First Affiliated Hospital of Dalian Medical University, Dalian, China.

Purpose: Ultrasound-guided thermal ablation (including microwave ablation [MWA] and radiofrequency ablation [RFA]) has emerged as a remarkable technology for the treatment of benign and malignant diseases. The objective of this multicenter study was to assess the efficacy and safety of thermal ablation in a large cohort of patients with papillary thyroid microcarcinoma (PTMC).

Materials And Methods: Retrospective study of 725 patients who underwent MWA/RFA at 11 centers between March 2015 and March 2020. Read More

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Long-Term Results of Ultrasound-Guided Radiofrequency Ablation of Benign Thyroid Nodules: State of the Art and Future Perspectives-A Systematic Review.

Front Endocrinol (Lausanne) 2021 26;12:622996. Epub 2021 May 26.

American Hospital of Paris, Thyroid Unit, Neuilly-sur-Seine, France.

Background: Nearly 20 years after the first feasibility study, minimally invasive ultrasound (US)-guided therapeutic techniques are now considered as a safe and effective alternative to surgery for symptomatic benign thyroid nodules. Radiofrequency ablation (RFA) is one of the most widely used treatment in specialized thyroid centers but, due to the relatively recent introduction into clinical practice, there are limited long-term follow-up studies. Aim of our work was to review the outcomes of RFA on solid nonfunctioning and on autonomous thyroid nodules (AFTN) on a long-time period for assessing the results in term of efficacy, complications, and costs and to compare them to the current indications of RFA. Read More

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LASER THERMAL ABLATION OF BENIGN THYROID NODULES AS AN EFFECTIVE, SAFE AND MINIMALLY INVASIVE METHOD FOR TREATING NODULAR GOITER (REVIEW).

Georgian Med News 2021 Apr(313):79-84

1Tyumen State Medical University; Russia.

To search for effective and safe methods aimed at reducing the frequency of surgical treatment for nodular thyroid pathology. 1999-2019 literature review conducted using NLM databases. There is more and more evidence in the literature on the efficacy and safety of minimally invasive treatments for thyroid nodular disease. Read More

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