4,337 results match your criteria Minimally Invasive Surgery of the Thyroid


[Real-world data analysis of 3012 patients undergoing laparoscopic radical gastrectomy in a single center over the past 12 years].

Zhonghua Wei Chang Wai Ke Za Zhi 2022 Aug;25(8):716-725

Department of General Surgery, the First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.

To Summarize the safety, clinical outcome and technical evolution of laparoscopic gastric cancer surgery. A retrospective cohort study was carried out. Clinical data of 3012 patients who underwent laparoscopic radical gastrectomy for gastric cancer from January 2010 to March 2022 at Department of General Surgery, the First Affiliated Hospital of Nanjing Medical University were retrospectively collected and analyzed. Read More

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Safety and efficacy of ultrasound-guided thermal ablation in treating T1aN0M0 and T1bN0M0 papillary thyroid carcinoma: A meta-analysis.

Front Endocrinol (Lausanne) 2022 27;13:952113. Epub 2022 Jul 27.

Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

Background: Papillary thyroid cancer (PTC) is the most common thyroid tumor, and early diagnosis and treatment can effectively improve prognosis. Many controversies surround the treatment method of T1N0M0 PTC. Recently, thermal ablation (TA) has shown some benefits in the treatment of PTC patients, but the safety and efficacy of its treatment remain controversial. Read More

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Spinal versus conventional fine needle for ultrasound-guided thyroid nodule biopsy: a protocol for a randomised clinical trial.

Dan Med J 2022 Jul 21;69(8). Epub 2022 Jul 21.

Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital - Rigshospitalet.

Introduction: Thyroid nodules are very common and constitute an increasing clinical challenge since improved imaging capabilities and utilisation have led to a higher number of incidental findings. Ultrasound-guided fine-needle aspiration biopsy (FNAB) is the standard diagnostic tool in the work-up of thyroid nodules suspected of malignancy. Non-diagnostic results remain common and require repeated FNAB, leading to increased costs and delayed treatment of thyroid diseases, including treatment of thyroid cancer. Read More

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A model for training ultrasound-guided fine-needle punctures.

Rev Assoc Med Bras (1992) 2022 Jul;68(7):948-952

Universidade Estadual de Campinas, Department of Radiology - Campinas (SP), Brazil.

Objective: To evaluate the efficacy of a training program in ultrasound-guided fine needle puncture using a cost-effective model.

Methods: We evaluated the training of 20 resident radiology physicians, based on a theoretical course and a practical simulation part with models that focused on the puncture technique of thyroid nodules. The total time to perform the procedure, the number of punctures on the model surface, and the application of a questionnaire were used to assess the performance and confidence of the resident physicians in performing the procedure. Read More

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Radiofrequency ablation (RFA) compared to observation for benign thyroid nodules: emerging considerations for judicious use.

Curr Opin Endocrinol Diabetes Obes 2022 Aug 12. Epub 2022 Aug 12.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cedars-Sinai Medical Center.

Purpose Of Review: Radiofrequency ablation (RFA) for thyroid nodules confers tangible advantages over surgery, which include promising outcomes in the context of a minimally invasive procedure and the functional benefits of organ preservation. However, the ubiquity of benign nodules worldwide may spur the risk of misuse in cases where there is negligible gain over conventional surveillance. This review summarizes new developments in RFA and examines its judicious utilization in benign nodules. Read More

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Different effects of intravenous and local anesthesia in patients undergoing ultrasound-guided radiofrequency ablation of thyroid nodules: a prospective cohort study.

Int J Hyperthermia 2022 ;39(1):1036-1043

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

Purpose: To compare the efficacy and safety of intravenous anesthesia (IV) with local anesthesia (LA) in patients undergoing ultrasound (US)-guided radiofrequency ablation (RFA) of thyroid nodules.

Methods: 50 patients with American Society of Anesthesiologists classification grades I-II undergoing US-guided thyroid RFA were enrolled and randomly (1:1) divided into IV (conscious sedation with Ramsay Sedation Scale [RSS] scores of 2-3 with an anesthesiologist) and LA (subcutaneous anesthesia with lidocaine without an anesthesiologist) groups. Pre-, intra- and post-procedural blood pressure (BP) (SBP/DBP, SBP/DBP, and SBP/DBP), intra- and post-procedural pain (NRS and NRS), ablated area volume, treatment time and adverse events were analyzed and compared. Read More

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A Risk Stratification Model for Metastatic Lymph Nodes of Papillary Thyroid Cancer: A Retrospective Study Based on Sonographic Features.

Front Endocrinol (Lausanne) 2022 22;13:942569. Epub 2022 Jul 22.

Department of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: Papillary thyroid carcinoma (PTC) has a high probability of cervical lymph node (LN) metastasis. The aim of the study was to develop an ultrasound risk stratification model to standardize the diagnosis of metastatic LNs of PTC.

Methods: Patients with suspicious thyroid nodules who underwent US examination and US guided fine-needle aspiration for cervical LNs were retrospectively collected. Read More

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Radiofrequency ablation for benign thyroid nodule treatment: New solution in our center.

Int J Surg Case Rep 2022 Jul 16;97:107418. Epub 2022 Jul 16.

Surgical Oncology Division, Surgery Department, Sebelas Maret University, Indonesia. Electronic address:

Introduction And Importance: Thyroid nodules are one of the most common thyroid disorders and are estimated at 4-7 % in the general population. Although it is estimated that 95 % of thyroid nodules are benign and only 4.0-6. Read More

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Influence of Single Experience with Intraoperative Near-Infrared Autofluorescence on Postoperative Parathyroid Insufficiency after Thyroidectomy - A Preliminary Clinical Study.

Int J Med Sci 2022 18;19(8):1334-1339. Epub 2022 Jul 18.

Department of General and Vascular Surgery, 3rd Provincial Hospital, Rybnik, Poland.

Total thyroidectomy has become the most common thyroid procedure. This treatment method results in most postoperative hypocalcemia (PH) and hypoparathyroidism (HPT) cases due to the unwitting removal of the parathyroid glands (PTGs). Near-infrared autofluorescence (NIRAF) is a new method that helps identify PTGs. Read More

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Incidental paratracheal lymph node lung adenocarcinoma in a patient with goiter: a case report.

AME Case Rep 2022 25;6:29. Epub 2022 Jul 25.

Department of Thoracic Surgery, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.

Background: Paratracheal lymph nodes can be sites of metastasis for a variety of malignancies, but these metastases are treated differently depending on the tissue of origin. We describe a patient who underwent combined thoracoscopic and cervical resection of a multinodular goiter who was found to have incidental lung adenocarcinoma in an adjacent paratracheal lymph node despite having no pulmonary nodules.

Case Description: A 62-year-old male with longstanding substernal multinodular goiter presented to his primary care doctor with continued growth of his goiter. Read More

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[Expert consensus on the treatment of glioma with radioactive seeds].

Authors:

Zhonghua Nei Ke Za Zhi 2022 Aug;61(8):867-873

Radioactive seeds brachytherapy for glioma has been available for more than half a century. Numerous studies have consistently supported that this therapy is minimally invasive, safe, and effective. Glioma has the potential to form a new treatment paradigm because of low incidence of hematogenous and lymphatic metastases. Read More

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Tension-free thyroidectomy (TFT): initial report.

Updates Surg 2022 Aug 1. Epub 2022 Aug 1.

Department of Surgery and Center of Minimally Invasive Surgery, Evang. Kliniken Essen-Mitte, Academic Teaching Hospital of the University of Duisburg-Essen, Essen, Germany.

The safety of thyroid surgery in terms of recurrent laryngeal nerve palsy and hypoparathyroidism has increased over the last decade. In this study, we present a new method of tension-free thyroidectomy (TFT), which could be used to further decrease the complication rate after a thyroidectomy. The procedure is based on the medial approach to the recurrent laryngeal nerve and the parathyroid glands after the division of the isthmus and successive complete dissection of Berry's ligament. Read More

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The Advantages of Robotic Over Open Thyroidectomy in Thyroid Diseases: A Systematic Review.

Cureus 2022 Jun 25;14(6):e26320. Epub 2022 Jun 25.

Neurology, California Institute of Behavioral Neurosciences & Psychology, California, USA.

Over a hundred thousand thyroid surgeries are performed per year in the United States. Although conventional thyroidectomy has successful surgical outcomes, robotic minimally invasive procedures, known for their scar free (regarding the neck, no collar incision) surgical outcomes gained popularity through the years. Furthermore, these techniques are new and still debatable. Read More

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Current indications and patient selection for transoral robotic surgery in head and neck cancer - a brief review.

Contemp Oncol (Pozn) 2022 8;26(2):91-96. Epub 2022 Jul 8.

Department of Head and Neck Surgery in the Greater Poland Cancer Centre at the Poznan University of Medical Sciences, Poznan, Poland.

Transoral robotic surgery (TORS) continues to gain momentum in minimally invasive surgery. Not only is TORS potentially curative in many cases, but it also addresses the growing emphasis on functional outcomes and quality of life. The main anatomical areas in which TORS is used are the oropharynx and larynx; however, it is becoming increasingly common in thyroid surgery and neck dissections. Read More

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Classification of follicular-patterned thyroid lesions using a minimal set of epigenetic biomarkers.

Eur J Endocrinol 2022 Sep 19;187(3):335-347. Epub 2022 Jul 19.

Nanomaterials and Nanotechnology Research Center (CINN), Spanish National Research Council (CSIC), El Entrego, Asturias, Spain.

Objective: The minimally invasive fine-needle aspiration cytology (FNAC) is the current gold standard for the diagnosis of thyroid nodule malignancy. However, the correct discrimination of follicular neoplasia often requires more invasive diagnostic techniques. The lack of suitable immunohistochemical markers to distinguish between follicular thyroid carcinoma and other types of follicular-derived lesions complicates diagnosis, and despite most of these tumours being surgically resected, only a small number will test positive for malignancy. Read More

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September 2022

Comparison of ultrasound-guided radiofrequency ablation versus thyroid lobectomy for T1bN0M0 papillary thyroid carcinoma.

Eur Radiol 2022 Jul 27. Epub 2022 Jul 27.

Department of Ultrasound, the First Medical Centre, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing, 100853, China.

Objective: To investigate and compare the clinical outcomes between radiofrequency ablation (RFA) and thyroid lobectomy (TL) for T1bN0M0 papillary thyroid carcinoma (PTC).

Methods: This retrospective study evaluated 283 patients with solitary T1bN0M0 PTC treated with RFA (RFA group, 91 patients) or TL (TL group, 192 patients) from May 2014 to November 2018. The patients were regularly followed up after treatment. Read More

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Update on the Diagnosis and Management of Medullary Thyroid Cancer: What Has Changed in Recent Years?

Cancers (Basel) 2022 Jul 27;14(15). Epub 2022 Jul 27.

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

Medullary thyroid carcinoma (MTC) is a neoplasm originating from parafollicular C cells. MTC is a rare disease, but its prognosis is less favorable than that of well-differentiated thyroid cancers. To improve the prognosis of patients with MTC, early diagnosis and prompt therapeutic management are crucial. Read More

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Surgical Stress Evaluation of Left Lateral Sectionectomy Based on Skeletal Muscle Catabolism.

Surg Laparosc Endosc Percutan Tech 2022 08 1;32(4):435-440. Epub 2022 Aug 1.

Department of Digestive Surgery, Breast, and Thyroid Surgery, Graduate School of Medicine, Kagoshima University, Kagoshima, Japan.

Background: By examining skeletal muscle catabolism, we aimed to investigate whether laparoscopic left lateral sectionectomy (LLS) is less invasive compared with the open approach.

Methods: The psoas muscle index (PMI) was measured using computed tomography images before and after surgery. We assessed the relationship between the perioperative PMI reduction rate and the estimation of physiologic ability and surgical stress (E-PASS) score and then compared the PMI reduction rates associated with different approaches. Read More

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Spindle cell variant of follicular thyroid carcinoma: An extremely unusual case and review of the literature.

Diagn Cytopathol 2022 Jul 22. Epub 2022 Jul 22.

Department of Pathology, Perelman School of Medicine, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA.

Spindle cell proliferations originating in follicular derived thyroid neoplasms are rare and known to cause diagnostic conundrums. We describe a unique case of a spindle cell variant of follicular thyroid carcinoma (FTC) in a 48-year-old female without relevant past medical history, who was being followed for a 1.4 cm left thyroid nodule for the past 15 months. Read More

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Endovascular Repair for Giant Right Subclavian Artery Aneurysm With Gore Viabahn and Pull-Through Procedure: A Case Report.

Front Surg 2022 5;9:939818. Epub 2022 Jul 5.

Department of Vascular and Thyroid Surgery, Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Background: Giant true subclavian artery aneurysms (SAAs) (>5 cm) are rare. Technical and anatomical considerations complicate the endovascular treatment of SAAs and pose some challenges. Here, we present a giant right SAA that was successfully excluded using stent grafts with the pull-through technique after two interventional steps and discuss the pull-through technique details as well as the lessons to be learned from this case. Read More

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Advantages of Small Incision Surgery in Thyroid Tumors.

Evid Based Complement Alternat Med 2022 11;2022:7794819. Epub 2022 Jul 11.

Department of General Surgery II, Qingdao Hospital of Traditional Chinese Medicine, Qingdao, Shandong 266000, China.

Objective: Thyroid tumor is a common thyroid disease, and the incidence of complications after traditional thyroid surgery is high, which seriously affects the prognosis of patients. With the development of minimally invasive techniques, small incision surgery has a positive impact on changing the traditional thyroid surgery treatment. However, the gap between small incision surgery and traditional thyroid surgery is unclear, so this meta-analysis was used to evaluate its application value. Read More

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Ethical and medico-legal issues of TOETVA procedure and simulation on cadavers: a scoping review.

Eur Rev Med Pharmacol Sci 2022 07;26(13):4550-4556

Legal Medicine, Department of Health Surveillance and Bioethics, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Conventional open thyroidectomy is still considered the gold standard for thyroid surgery. Transoral endoscopic thyroidectomy vestibular approach (also known as TOETVA) is often considered to be more advantageous than the other approaches, such as minimally invasive video assisted thyroidectomy, thyroidectomy via breast/axillary/retroauricular access, bilateral axillo-breast approach and axillo-bilateral breast approach. In this scoping review, we discuss the risks and the benefits of this surgical approach and its medico-legal and ethical implications, particularly focusing on the importance of practice on cadavers. Read More

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Radiofrequency ablation for management of thyroid nodules in quarantine zone of COVID-19 pandemic setting in Indonesia.

Ann Med Surg (Lond) 2022 Sep 12;81:104132. Epub 2022 Jul 12.

Surgery Department, Oncology Division, Medical Faculty of Gadjah Mada University, Indonesia.

Surgery using minimally invasive procedures has been continuously developing in the medical field including in the treatment and resection of thyroid tumors. In addition to open thyroid surgery, several types of procedures are well developed and adopted in our center including the endoscopic thyroid and radiofrequency ablation (RFA). The COVID-19 pandemic has substantially changed the healthcare system in Indonesia. Read More

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September 2022

Diagnostic accuracy of palpation versus ultrasound-guided fine needle aspiration biopsy for diagnosis of malignancy in thyroid nodules: a systematic review and meta-analysis.

BMC Endocr Disord 2022 Jul 17;22(1):181. Epub 2022 Jul 17.

Division of Endocrinology, Metabolism and Diabetes, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.

Thyroid nodule is a common health problem in endocrinology. Thyroid fine-needle aspiration biopsy (FNAB) cytology performed by palpation guided FNAB (PGFNAB) and ultrasound-guided FNAB (USGFNAB) are the preferred examinations for the diagnosis of thyroid cancer and part of the integration of the current thyroid nodule assessment. Although studies have shown USGFNAB to be more accurate than PGFNAB, inconsistencies from several studies and clinical guidelines still exist. Read More

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Safety and feasibility of the transoral endoscopic thyroidectomy vestibular approach with neuroprotection techniques for papillary thyroid carcinoma.

BMC Surg 2022 Jul 13;22(1):270. Epub 2022 Jul 13.

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: This study aimed to evaluate the feasibility and safety of the trans-oral endoscopic thyroidectomy vestibular approach (TOETVA) with neuroprotection techniques for the surgical management of papillary thyroid carcinoma (PTC).

Methods: Patients with PTC who underwent TOETVA between December 2016 and July 2020 were included in this study, and their relevant clinical characteristics, operational details, and surgical outcomes were reviewed and extracted from their medical records for further analysis.

Results: A total of 75 patients successfully underwent TOETVA with zero conversions. Read More

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Vitamin D and interferon-γ co-operate to increase the ACE-2 receptor expression in primary cultures of human thyroid cells.

J Endocrinol Invest 2022 Jul 12. Epub 2022 Jul 12.

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

Background: A more severe course of COVID-19 was associated with low levels of Vitamin D (VitD). Moreover in vitro data showed that VitD up-regulates the mRNA of the Angiotensin Converting Enzyme 2 (ACE-2), the SARS-COV-2 receptor in different type of cells. ACE-2 is expressed in several type of tissues including thyroid cells, on which its mRNA was shown to be up-regulated by interferon-gamma (IFN-γ). Read More

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[Extramedullary plasmacytoma of the larynx:a case report].

Authors:
Jun Peng Quan Zeng

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Jul;36(7):553-556

Department of Otolaryngology,the First Affiliated Hospital of Chongqing Medical University,Chongqing,400016,China.

This paper reported a case of extramedullary plasmacytoma of the larynx. The patient presented with persistent hoarseness and foreign body sensation in pharynx for 5 months. Left anterior laryngeal mass, left epiglottis fold distention was found during laryngoscopy. Read More

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The short video lecture for robotic bilateral axillo-breast approach to lateral neck lymph node dissection.

J Minim Invasive Surg 2022 Jun;25(2):80-83

Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Lateral neck lymph node dissection (LND) along with total thyroidectomy is the standard treatment for thyroid cancer patients with metastases to the lateral neck lymph nodes. In general, lateral neck LND removes lymph nodes located at levels II to V ipsilateral to the thyroid cancer and preserves the spinal accessory nerve, internal jugular vein, and sternomastoid muscle during surgery. This video article was written to introduce the robotic bilateral axillo-breast approach for lateral neck LND and to describe the surgical method. Read More

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Impact of Iodinated Contrast Media in Patients Received Percutaneous Coronary Intervention: Focus on Thyroid Disease.

Front Endocrinol (Lausanne) 2022 23;13:917498. Epub 2022 Jun 23.

Department of Cardiology, Fujian Medical University Union Hospital, Fujian Institute of Coronary Artery Disease, Fuzhou, China.

Background: With the rapid advance in percutaneous coronary intervention (PCI) technology, patients absorb large volume of iodinated contrast media (ICM). Recent studies suggested that ICM may lead to hyperthyroidism, but the association between ICM volume and thyroid is still unclear. We sought to evaluate the long-term influence of ICM on thyroid dysfunction and disease in patients received PCI. Read More

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Thyroidectomy via unilateral axillo-breast approach (UABA) with gas insufflation: prospective multicentre European study.

BJS Open 2022 07;6(4)

Unit of Medical and Surgical Endocrinology, Endocrine Surgery, Department of General and Digestive Surgery, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.

Background: Extracervical approaches for thyroidectomy are seldom explored in the western population. The objective of this study was to evaluate the outcomes of hemithyroidectomy via endoscopic unilateral axillo-breast approach (UABA) with gas insufflation.

Method: Consecutive patients undergoing UABA hemithyroidectomy for symptomatic benign or cytologically indeterminate nodules (Bethesda III lesions) of less than 5 cm from July 2015 to December 2020 at three European institutions were included. Read More

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