3,641 results match your criteria Minimally Invasive Surgery of the Thyroid


Transoral thyroidectomy (TOETVA): Complications, surgical time and learning curve.

Oral Oncol 2020 Jun 30;110:104871. Epub 2020 Jun 30.

Department of Head and Neck Surgery and Otorhinolaryngology, A.C. Camargo Cancer Center, Sao Paulo, Brazil; Head and Neck Surgery, University of São Paulo Medical School, Sao Paulo, Brazil.

Background: Since 2018, transoral endoscopic thyroidectomy vestibular approach (TOETVA) has emerged as a true scarless thyroid surgery. In this study, we explore early outcomes and learning curve of this new approach.

Methods: A retrospective cohort including conventional thyroidectomies and TOETVAs performed in a cancer center was designed. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2020.104871DOI Listing

Hurthle cell carcinoma in childhood: A retrospective analysis of five cases and review of pediatric literature.

Pediatr Blood Cancer 2020 Jul 2:e28300. Epub 2020 Jul 2.

Division of Pediatrics, Department of Human Pathology in Adulthood and Childhood, University of Messina, Messina, Italy.

Background: the available studies on Hurthle cell carcinoma (HCC) in pediatric age are scarce and based on isolated case reports. Aims of the present study were to review the available pediatric literature on HCC (2000-2019), to describe the cohort of children with this cancer histotype, and to estimate its relative prevalence in pediatric age.

Procedure: We retrospectively reconstructed an HCC course in five patients < 19 years who were identified in our departments during the period 2000-2019, and we reviewed the available pediatric studies on this differentiated thyroid cancer (DTC) variant. Read More

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http://dx.doi.org/10.1002/pbc.28300DOI Listing

Letter to Editor: Comparison Between the Protector™ Laryngeal Mask Airway and the Endotracheal Tube for Minimally Invasive Thyroid and Parathyroid Surgery.

World J Surg 2020 Jul 1. Epub 2020 Jul 1.

Second Department of Propedeutic Surgery, Medical School, Laikon General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

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http://dx.doi.org/10.1007/s00268-020-05662-4DOI Listing

Minimally Invasive Approaches for Thyroid Surgery-Pitfalls and Promises.

Curr Oncol Rep 2020 Jun 29;22(8):77. Epub 2020 Jun 29.

Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel Aviv, Israel.

Purpose Of Review: To provide an overview of the feasibility and safety of current minimally invasive remote-access approaches for thyroid surgery, in view of the amounting new challenges and paradigm shifts in the management of thyroid pathologies.

Recent Findings: Over the past two decades, several remote-access approaches for thyroid surgery have been developed to improve cosmesis; however, none has been widely adopted extensively in the Western world. The recently emerged transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is the only true minimally invasive approach, completely avoiding skin incisions. Read More

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http://dx.doi.org/10.1007/s11912-020-00939-2DOI Listing

Intraductal Therapy in Breast Cancer: Current Status and Future Prospective.

J Mammary Gland Biol Neoplasia 2020 Jun 23. Epub 2020 Jun 23.

Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, No 238 Jiefang Road, Wuchang District, Wuhan, Hubei, 430060, People's Republic of China.

With our improved understanding of the biological behavior of breast cancer, minimally invasive intervention is urgently needed for personalized treatment of early disease. Intraductal therapy is one such minimally invasive approach. With the help of appropriate tools, technologies using the intraductal means of entering the ducts may be used both to diagnose and treat lesions in the mammary duct system with less trauma and at the same time avoid systemic toxicity. Read More

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http://dx.doi.org/10.1007/s10911-020-09453-4DOI Listing

THE ASSOCIATION BETWEEN TUMOR TISSUE CALCIFICATION, OBESITY, AND THYROID CANCER INVASIVENESS IN A COHORT STUDY.

Endocr Pract 2020 Jun 23. Epub 2020 Jun 23.

From: 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, 126 Xiantai Street, Changchun 130013, Jilin Province, China.

. We examined the relationships between tumor tissue calcifications of papillary thyroid cancer (PTC), body mass index (BMI), and tumor invasiveness. . Read More

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http://dx.doi.org/10.4158/EP-2020-0057DOI Listing

A Randomized Comparison of Carbon Nanoparticles in Endoscopic Lymph Node Dissection Via the Bilateral Areola Approach for Papillary Thyroid Cancer.

Surg Laparosc Endosc Percutan Tech 2020 Apr 21. Epub 2020 Apr 21.

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

Objective: We assess the value of carbon nanoparticles (CNP) staining in patients undergoing endoscopic thyroidectomy and central compartment lymph node (CLN) dissection via the bilateral areola approach [endoscopic thyroidectomy via bilateral areola approach (ETBAA)].

Methods: This was a prospective randomized study. Three hundred two consecutive early-stage thyroid cancer patients eligible for ETBAA were recruited at the Division of Thyroid Surgery, China-Japan Union Hospital, Jilin University, China. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000793DOI Listing

Trends of robotic assisted surgery for thyroid, colorectal, stomach and hepatopancreaticobiliary cancer-10 year Korea trend investigation.

Asian J Surg 2020 Jun 19. Epub 2020 Jun 19.

Department of Surgery, Korea University Medical Center, Korea University College of Medicine, Inchon-ro 73, Seongbuk-gu, Seoul, 136-705, Republic of Korea.

Background: The current position of robotic surgery in the field of minimally invasive surgery remains ambiguous. We evaluated long-term trends of robotic general surgery and the future direction of its development.

Methods: Data on robotic cancer surgeries between 2005 and 2014 were retrospectively collected by volunteer institutions in the Republic of Korea. Read More

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http://dx.doi.org/10.1016/j.asjsur.2020.05.029DOI Listing

Safety parameters of ferromagnetic device during thyroid surgery: Porcine model using continuous neuromonitoring.

Head Neck 2020 Jun 22. Epub 2020 Jun 22.

Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Background: The ferromagnetic (FM) device is a new surgical energy modality. This study investigated dynamic recurrent laryngeal nerve (RLN) electromyographic (EMG) data to define safety parameters for using FM devices in thyroidectomy.

Methods: Real-time EMG tracings obtained under continuous neuromonitoring were recorded from 24 RLNs (12 piglets). Read More

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http://dx.doi.org/10.1002/hed.26334DOI Listing
June 2020
2.641 Impact Factor

Comparative study of bilateral axillo-breast approach endoscopic and robotic thyroidectomy: propensity score matching analysis of large multi-institutional data.

Ann Surg Treat Res 2020 Jun 28;98(6):307-314. Epub 2020 May 28.

Yeo-Kyu Youn Thyroid Clinic, St. Peter's Hospital, Seoul, Korea.

Purpose: The aim of this study was to compare the large multi-institutional data of surgical outcomes of bilateral axillo-breast approach (BABA) robotic (RT) and endoscopic thyroidectomy (ET) and to evaluate the merits of robotic thyroidectomy.

Methods: From 2004 to 2015, 1,029 patients underwent BABA ET, and from 2008 to 2015, 2003 patients underwent BABA RT in 3 large volume centers in Korea. Two groups were retrospectively compared in terms of clinicopathologic characteristics, complications, surgical completeness, and long-term outcomes using propensity score matching analysis. Read More

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http://dx.doi.org/10.4174/astr.2020.98.6.307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263885PMC

Radiofrequency Ablation on Autonomously Functioning Thyroid Nodules: A Critical Appraisal and Review of the Literature.

Front Endocrinol (Lausanne) 2020 22;11:317. Epub 2020 May 22.

Unit of Medicina Clinica (Cattinara Hospital), ASUGI, Trieste, Italy.

Thyroid nodules are an extremely common occurrence, as their prevalence in the general population is estimated to range between 50 and 70%. Some of these nodules are autonomously functioning such that they can cause hyperthyroidism over time. In this case, surgery and radioiodine represent the standard of care. Read More

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http://dx.doi.org/10.3389/fendo.2020.00317DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256164PMC

Ultrasound dye-assisted parathyroidectomy (USDAP): Experience of a tertiary center.

Am J Otolaryngol 2020 May 29:102558. Epub 2020 May 29.

Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.

Background: Primary hyperparathyroidism is primarily caused by parathyroid adenoma, followed by hyperplasia and parathyroid carcinoma. In the era of minimally invasive, targeted parathyroidectomy, the main challenge remains that of distinguishing intraoperatively pathological parathyroid from normal glands and peri-thyroid fat tissue. The aim of this study is to evaluate the surgical outcomes of a novel minimally invasive technique called ultrasound-guided dye-assisted parathyroidectomy (USDAP). Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102558DOI Listing

Recurrent laryngeal nerve management in transoral endoscopic thyroidectomy.

Oral Oncol 2020 Jun 8;108:104755. Epub 2020 Jun 8.

Department of Surgery, KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Republic of Korea. Electronic address:

Introduction: The mechanism of recurrent laryngeal nerve (RLN) injury was investigated during a TransOral Endoscopic Thyroidectomy Vestibular Approach (TOETVA).

Methods: The function of 185 nerves at risk (NAR) was recorded with intermitted intraoperative neural monitoring (I-IONM). The RLN electromyography (EMG) was delineated during: (a) a pre-dissection vagal nerve stimulation; (b) a RLN stimulation at initial visualization; (c) at nerve dissection; and (d) at the final verification of the entire RLN route. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2020.104755DOI Listing

Contemporary thyroid nodule evaluation and management.

J Clin Endocrinol Metab 2020 Jun 3. Epub 2020 Jun 3.

Department of Translational and Precision Medicine, Sapienza University of Rome, Viale del Policlinico, Rome, Italy.

Context: Approximately 60% of adults harbor one or more thyroid nodules. The possibility of cancer is the overriding concern, but only about 5% prove to be malignant. The widespread use of diagnostic imaging and improved access to healthcare favor the discovery of small, subclinical nodules and small papillary cancers. Read More

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http://dx.doi.org/10.1210/clinem/dgaa322DOI Listing
June 2020
6.209 Impact Factor

Metastatic Tracheal Tumor of Thyroid Origin: Endoscopic Diode Laser Treatment Combined With Thyroidectomy, Radioactive Iodine, and Radiotherapy.

Ear Nose Throat J 2020 Jun 2:145561320931214. Epub 2020 Jun 2.

MicroDiagnostics Ltd, Private Surgical Pathology, Cytopathology and Molecular Diagnostics Laboratory, Thessaloniki, Greece.

Tracheal metastasis from papillary thyroid carcinoma (PTC) is an unprecedented and rare entity. We present the case of a 65 year-old lady who suffered from dyspnea and a thyroid goiter that turned out to be PTC. A magnetic resonance imaging (MRI) scan of the lungs revealed a huge tracheal mass causing obstruction of the tracheal lumen. Read More

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http://dx.doi.org/10.1177/0145561320931214DOI Listing

Goiter drawing in Ulrich Boner's Der Edelstein Codices Palatini Germanici 794.

Authors:
G Dionigi R Dionigi

J Endocrinol Invest 2020 May 29. Epub 2020 May 29.

Istituto Lombardo Accademia di Scienze e Lettere, Milano, Italy.

We provide an example of representation of thyroid swelling in the artwork of Ulrich Boner's Der Edelstein Codices Palatini Germanici 794. Read More

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http://dx.doi.org/10.1007/s40618-020-01305-6DOI Listing

Consequences of Trocar Dynamics on Mental Nerve in Transoral Thyroidectomy.

Surg Laparosc Endosc Percutan Tech 2020 May 26. Epub 2020 May 26.

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

Background: Mental nerve (MN) injuries are reported during transoral endoscopic thyroidectomy vestibular approach. Effect of trocar insertion and position on MN are examined in the present study.

Materials And Methods: Ten millimeter incision was made at the center of the lower lip oral vestibule. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000795DOI Listing

Evaluation of the performance of ultrasonography and 99mTc-sestamibi scintigraphy for primary hyperparathyroidism surgery.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 May 20. Epub 2020 May 20.

Service d'ORL et de Chirurgie Cervico-Faciale, CHU Brest, Brest, France.

Introduction: Minimally invasive surgery has become the standard surgical attitude in primary hyperparathyroidism. It requires precise preoperative lesion localization. The aim of the present study was to evaluate the performance of ultrasonography and 99mTc-sestamibi scintigraphy in minimally invasive surgery for primary hyperparathyroidism. Read More

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http://dx.doi.org/10.1016/j.anorl.2020.03.009DOI Listing

Comparing Ligasure Exact dissector with other energy devices in total thyroidectomy: a pilot study.

Gland Surg 2020 Apr;9(2):271-277

1st Propedeutic Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background: Hemostasis is fundamental in thyroid surgery. The aim of this randomized active comparator-controlled study was to compare the effectiveness of Ligasure Exact to previously existing sealing devices in patients undergoing thyroidectomy.

Methods: A total of 180 patients were randomly allocated into 4 groups according to the hemostatic device used: Focus Harmonic Scalpel (FHS), Ligasure Small Jaw (LSJ), Thunderbeat (TB), and Ligasure Exact (LE). Read More

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http://dx.doi.org/10.21037/gs.2020.02.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225447PMC

Comparison between the 4K ultra-high definition (UHD) and high definition (HD) endoscopic systems for transoral endoscopic thyroidectomy.

Gland Surg 2020 Apr;9(2):229-237

Department of Surgery, Inha University Hospital, Incheon, Korea.

Background: The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is the most recently introduced method of minimally invasive thyroid surgery. To our knowledge, no studies have compared TOETVA outcomes using different laparoscopic systems. This study compared outcomes of TOETVA using conventional high definition (HD) and ultra-high definition (UHD) equipment. Read More

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http://dx.doi.org/10.21037/gs.2020.01.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225458PMC

Single port transoral thyroidectomy.

Gland Surg 2020 Apr;9(2):159-163

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.

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http://dx.doi.org/10.21037/gs.2020.01.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225491PMC

Laryngeal suspension, combined with rehabilitation and nutritional support, improved the clinical course of a patient with sarcopenic dysphasia.

Int J Surg Case Rep 2020 11;70:140-144. Epub 2020 May 11.

Department of Otorhinolaryngology, Sano Kosei General Hospital, 1728 Horigomecho, Sano City, Tochigi, Japan.

Introduction: Sarcopenic dysphasia is a relatively new disease concept describing impairments in swallowing resulting from a generalized loss of skeletal muscle mass.

Presentation Of Case: In this case report, we describe the clinical history and presentation of a 76-year-old man who developed mild sarcopenic dysphasia following a period of physical inactivity after spinal stenosis surgery, which resulted in a loss of 10 kg of body weight in the 10-month period after surgery. The patient's dysphasia was managed with laryngeal suspension, performed via a minimally invasive thyromandibulopexy, in combination with rehabilitation and nutritional support. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229273PMC

Transoral endoscopic thyroidectomy via vestibular approach: First case in Saudi Arabia.

Int J Surg Case Rep 2020 7;70:75-77. Epub 2020 May 7.

Imam Abdulrahman Bin Faisal University, Saudi Arabia.

Introduction: There has been increased interest in applying the principles of minimally invasive surgery in thyroid surgery which was promoted by Miccoli and his colleagues in 1999. Different surgical techniques since then were introduced, transcervical and extracervical approaches.

Presentation Of Case: A 33-year-old Saudi female presented with a swelling over the left side of her neck and dysphagia for three years. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226639PMC

Feasibility of Attachable Ring Stimulator for Intraoperative Neuromonitoring during Thyroid Surgery.

Int J Endocrinol 2020 30;2020:5280939. Epub 2020 Jan 30.

Department of Internal Medicine, Seoul National University College of Medicine and Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul 07061, Republic of Korea.

Objective: Stimulator-attached dissecting instruments are useful for intraoperative nerve monitoring during thyroidectomy. The aim of this study was to evaluate the feasibility of an attachable ring stimulator (ARS) by comparing the electromyography (EMG) amplitudes evoked by an ARS and a conventional stimulator.

Methods: Medical records of fourteen patients who underwent thyroidectomy using intraoperative neuromonitoring between June and August 2019 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1155/2020/5280939DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204267PMC
January 2020
1.515 Impact Factor

Microarray analysis of formalin-fixed, paraffin-embedded follicular thyroid carcinoma samples from patients who developed postoperative distant metastasis.

BMC Res Notes 2020 May 13;13(1):241. Epub 2020 May 13.

Laboratory of Biological Macromolecules, Department of Applied Life Sciences, Graduate School of Life & Environmental Sciences, Osaka Prefecture University, 1‑1 Gakuen‑cho, Sakai, 599‑8531, Japan.

Objective: Although follicular thyroid carcinoma (FTC) generally has a good prognosis, it occasionally metastasises, leading to poor prognosis. Unfortunately, minimally invasive FTC (mi-FTC) and encapsulated angioinvasive FTC (ea-FTC) cannot be distinguished cytopathologically from thyroid follicular adenoma (FTA), a benign tumour with a good prognosis. Therefore, a molecular diagnosis to distinguish mi- or ea-FTC from FTA is needed for clinical treatment. Read More

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http://dx.doi.org/10.1186/s13104-020-05080-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218651PMC

Platysmal Lineaments of the Neck With Emphasis on Endoscopic Endocrine Surgery.

Surg Laparosc Endosc Percutan Tech 2020 May 8. Epub 2020 May 8.

KUMC Thyroid Center Korea University, Anam Hospital, Seoul, Korea.

Background: In endoscopic neck endocrine surgery, the subplatysmal plane is an anatomic key structure that must be identified and preserved, to progress with the dissection. We define the prevalence of platysma, in the intermediate plane of the anterior cervical region, and evaluate potential statistical correlations with clinical and pathologic variables.

Materials And Methods: The study included patients who had thyroid surgery. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000792DOI Listing

Simulations and simulators in head and neck endocrine surgery.

Ann Thyroid 2020 Mar 31;5. Epub 2020 Mar 31.

Division of Head & Neck Endocrine Surgery, Department of Otolaryngology, Head & Neck Surgery, Johns Hopkins Hospital, Baltimore, MD, USA.

Simulations and simulators have become an increasingly important tool in trainee education across many surgical disciplines, particularly for robotic and minimally invasive procedures. Thyroidectomy and parathyroidectomy are common procedures performed across multiple surgical disciplines, however, there is limited literature regarding training models/simulators for these operations. This is despite the advent and growing popularity of remote-access thyroidectomy techniques, where simulators may provide significant value in trainee education and safe implementation. Read More

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http://dx.doi.org/10.21037/aot.2020.03.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213387PMC

Strategies for superior thyroid pole dissection in transoral thyroidectomy: a video operative guide.

Surg Endosc 2020 Aug 7;34(8):3711-3721. Epub 2020 May 7.

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, 126 Xiantai Blvd, Changchun city, Jilin province, People's Republic of China.

Background: The dissection of the superior thyroid gland pole is challenging when using the in TransOral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) due to (a) the cranio-caudal approach, (b) cranial-caudal view, and (c) the restriction of maneuverability inside the narrow neck air pocket.

Methods: In this paper and operative video guide, a series of TOETVA's tips and tricks are presented with an emphasis on the strategies for a safe approach to the superior thyroid gland pole structures.

Results: Management of the upper thyroid pole structures includes: (a) use of a 5 mm/30°-45° endoscope; (b) retraction ports up to the limit of the lower jaw edge; (c) lateral retraction of 1/3 of the cranial strap muscles; (d) isthmectomy; (e) cutting the sternothyroid muscle cranially for 1 cm; (f) retraction of the thyroid upwards and laterally; (g) monitoring the external branch of the superior laryngeal nerve, and (h) sealing individual vessel branches. Read More

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http://dx.doi.org/10.1007/s00464-020-07577-6DOI Listing

ARE THYROID NODULES AN OBSTACLE TO MINIMAL INVASIVE PARATHYROID SURGERY? A SINGLE-CENTER STUDY FROM AN ENDEMIC GOITER REGION.

Acta Endocrinol (Buchar) 2019 Oct-Dec;15(4):531-536

TC Saglik Bakanligi, Ankara Numune Training and Research Hospital - Surgery, Altindag, Ankara, Turkey.

Context: Minimally invasive parathyroidectomy (MIP) procedure has become a widely accepted alternative to the standard four-gland exploration nowadays.

Objective: The aim of this study was to evaluate patients with primary hyperparathyroidism (PHPT), who had been treated with thyroidectomy and bilateral neck exploration (BNE), rather than MIP alone, due to coexisting thyroid nodules and to determine the benefits of simultaneous thyroidectomy and the possible negative outcomes of not performing this additional procedure.

Design: There were 185 patients who were operated for PHPT at our clinic from January 2014 to November 2016. Read More

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http://dx.doi.org/10.4183/aeb.2019.531DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200102PMC

Main Surgical Principles and Methods in Surgical Treatment of Primary Hyperparathyroidism.

Sisli Etfal Hastan Tip Bul 2019 3;53(4):337-352. Epub 2019 Dec 3.

Department of Genaral Surgery, Bahcesehir University, Faculty of Medicine, Istanbul, Turkey.

The only curative treatment for primary hyperparathyroidism (pHPT) is surgery. The most important factors that increase the success rate of a parathyroidectomy are the establishment of the correct diagnosis and the surgeon's good knowledge of anatomy and embryology. The lower parathyroid glands develop from the dorsal portion of the third pharyngeal pouch, and the upper parathyroid glands from the fourth pharyngeal pouch. Read More

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http://dx.doi.org/10.14744/SEMB.2019.67944DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192302PMC
December 2019

Postoperative Bleeding after Thyroid Surgery: Care Instructions.

Sisli Etfal Hastan Tip Bul 2019 21;53(4):329-336. Epub 2019 Nov 21.

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

Prospective studies on the incidence, etiology, and prognosis of well-characterized patients with bleeding after thyroid surgery are lacking. Bleeding after thyroid surgery cannot be predicted or prevented even if risk factors are known in every single procedure, which enhances the im-portance of the following issues: (a) meticulous hemostasis and surgical technique; (b) coopera-tion with the anesthesiologist, i.e. Read More

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http://dx.doi.org/10.14744/SEMB.2019.95914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192296PMC
November 2019

The transcutaneous electromyography recording method for intraoperative neuromonitoring of recurrent laryngeal nerve during minimally invasive parathyroidectomy.

Sci Rep 2020 May 6;10(1):7609. Epub 2020 May 6.

Department of Otorhinolaryngology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.

Intraoperative neuromonitoring (IONM) facilitates recurrent laryngeal nerve (RLN) protection in thyroid and parathyroid surgeries. This study aimed to investigate a novel transcutaneous electromyography (EMG) recording method for IONM of the RLN during minimally invasive parathyroidectomy (MIP). Twenty patients with primary hyperparathyroidism undergoing MIP were enrolled. Read More

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http://dx.doi.org/10.1038/s41598-020-64675-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203296PMC

Inferior Thyroid Artery Pseudoaneurysm Coil Embolisation.

Eur J Vasc Endovasc Surg 2020 Jun 1;59(6):917. Epub 2020 May 1.

Medical Imaging Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

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http://dx.doi.org/10.1016/j.ejvs.2020.03.046DOI Listing

See (n)One, Do (n)One, Teach (n)One: Reality of Surgical Resident Training in Germany.

World J Surg 2020 Aug;44(8):2501-2510

Young Surgeons Working Group (CAJC) of the German Society for General and Visceral Surgery (DGAV), Berlin, Germany.

Introduction: Due to technological changes, working time restrictions and the creation of specialized centers, surgical training has changed. A competence-based learning technique of surgical skills is the sub-step practice approach, which has been proven important in nationwide opinion surveys. The aim of this prospective multi-center trial was to determine the status quo of the sub-step concept in Germany. Read More

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http://dx.doi.org/10.1007/s00268-020-05539-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326792PMC

[Modern thyroid surgery - the surgeon's endocrine-surgical understanding and his responsibility for the extent of surgery and complication rate].

Wien Med Wochenschr 2020 Apr 27. Epub 2020 Apr 27.

Chirurgie, Sanatorium Kettenbrücke der Barmherzigen Schwestern, Sennstraße 1, 6020, Innsbruck, Österreich.

High quality thyroid surgery implies a surgeon with an endocrine-surgical understanding aiming at best possible outcome. This includes an appropriate extent of the resection and a low rate of complications. It is important that the surgeon is involved at an early stage being part of the decision process for or against partial or total thyroidectomy. Read More

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http://dx.doi.org/10.1007/s10354-020-00750-5DOI Listing

An easier option for "invisible scar" thyroidectomy: hybrid-transoral endoscopic thyroidectomy submental access (H-TOETSA)-experience on twenty-two consecutive patients.

Surg Endosc 2020 Apr 27. Epub 2020 Apr 27.

Unit of Endocrine Surgery, Florence University Hospital, Florence, Italy.

Background: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is currently the only "cervical invisible scar" procedure with a surgical access close to the thyroid area. The aim of this technical note was to describe a hybrid technique with a vestibular and a submental access as applied in 22 consecutive patients undergoing lobectomy.

Methods: Out of 502 thyroidectomies performed from February 1, 2018 to May 31, 2019, feasibility of Hybrid-TransOral Endoscopic Thyroidectomy Submental Access (H-TOETSA) was assessed in 22 patients meeting the inclusion criteria. Read More

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http://dx.doi.org/10.1007/s00464-020-07576-7DOI Listing

Transoral endocrine surgery: Considerations for adopting a new technique.

J Surg Oncol 2020 Jul 25;122(1):36-40. Epub 2020 Apr 25.

Division of General Surgery, Department of Surgery, Section of Endocrine Surgery, Baylor College of Medicine, Houston, Texas.

Transoral endocrine surgery encompasses a group of operations whereby the thyroid or parathyroid gland is removed through the oral vestibule. This operation has the advantage of leaving no cutaneous scar and a risk profile similar to open surgery. Adoption of this technique has increased dramatically over the last several years. Read More

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http://dx.doi.org/10.1002/jso.25953DOI Listing

Laparoscopic needle catheter jejunostomy by using a double semipurse string suture method in minimally invasive Ivor Lewis esophagectomy.

J Thorac Dis 2020 Mar;12(3):240-248

Department of Thoracic Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.

Background: To investigate the safety and effectiveness of a double semipurse string suture method for jejunum fixation in laparoscopic needle catheter jejunostomy in minimally invasive Ivor Lewis esophagectomy (MIILE).

Methods: Two hundred and six esophageal cancer patients continuously receiving MIILE from March 2014 to February 2018 were enrolled. In all patients, the double semipurse string suture method was applied for jejunum fixation in laparoscopic needle catheter jejunostomy. Read More

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http://dx.doi.org/10.21037/jtd.2020.01.53DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139043PMC

Spade-Shaped Anastomosis Following a Proximal Gastrectomy Using a Double Suture to Fix the Posterior Esophageal Wall to the Anterior Gastric Wall (SPADE Operation): Case-Control Study of Early Outcomes.

J Gastric Cancer 2020 Mar 17;20(1):72-80. Epub 2020 Feb 17.

Center for Gastric Cancer, National Cancer Center, Goyang, Korea.

Purpose: Proximal gastrectomy (PG) is a function-preserving surgery in cases of proximally located early-stage gastric cancer. Because gastroesophageal reflux is a major pitfall of this operation, we devised a modified esophagogastrostomy (EG) anastomosis to fix the distal part of the posterior esophageal wall to the proximal part of the anterior stomach wall to produce an anti-reflux mechanism; we named this the SPADE operation. This study aimed to show demonstrate the clinical outcomes of the SPADE operation and compare them to those of previous PG cases. Read More

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http://dx.doi.org/10.5230/jgc.2020.20.e5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105412PMC

Thyroid cancer surgery - in what direction are we going? A mini-review.

J Int Med Res 2020 Apr;48(4):300060520914803

Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Wroclaw, Poland.

The prevalence of thyroid cancer, especially in women, is increasing dramatically. Therefore, patients often undergo thyroidectomy upon diagnosis. However, the cosmetic outcome after surgery is of particular concern for many patients. Read More

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http://dx.doi.org/10.1177/0300060520914803DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136939PMC

Response by Li et al., to inconsistent results between the two studies comparing microwave ablation versus surgery for papillary thyroid microcarcinoma.

Int J Hyperthermia 2020 ;37(1):291-292

Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

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http://dx.doi.org/10.1080/02656736.2020.1740339DOI Listing

Continuous Neural Monitoring in Endoscopic Thyroidectomy: Feasibility Experimental Study for Transcutaneous Vagal Nerve Stimulation.

J Laparoendosc Adv Surg Tech A 2020 Mar 24. Epub 2020 Mar 24.

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

Adoption of continuous intraoperative neural monitoring (C-IONM) in endoscopic thyroid surgery is limited due to the uneasy application of C-IONM electrode. Feasibility for transcutaneous vagal nerve stimulation was tested. Vagus nerve (VN) and recurrent laryngeal nerve (RLN) were mapped and stimulated in different neck sites by (1) transcutaneous monopolar intermitted stimulation; (2) prototype for continuous transcutaneous stimulating electrodes (TSEs), that is, suction ball C-IONM electrode remodeled; (3) stimulation subsequently to neck CO insufflation; (4) direct stimulation of surgical exposed nerves. Read More

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http://dx.doi.org/10.1089/lap.2020.0073DOI Listing

Efficacy of totally laparoscopic compared with laparoscopic-assisted total gastrectomy for gastric cancer: A meta-analysis.

World J Clin Cases 2020 Mar;8(5):900-911

Department of Stomach/Thyroid/Vascular Surgery, Chongqing Three Gorges Central Hospital, Chongqing 404000, China.

Background: Laparoscopic radical gastrectomy is currently the most common surgical approach for gastric cancer. The main difference between totally laparoscopic total gastrectomy (TLTG) and laparoscopic-assisted total gastrectomy (LATG) is the route of digestive tract reconstruction. However, TLTG is currently not widespread as the safety and feasibility of intracorporeal esophagojejunostomy is uncertain. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i5.900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7062624PMC

Inconsistent results between the two studies comparing microwave ablation and surgery for papillary thyroid microcarcinoma.

Int J Hyperthermia 2020 ;37(1):273

Department of Oncology, The First Affiliated Hospital, Nanjing Medical University, Nanjing, PR China.

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http://dx.doi.org/10.1080/02656736.2020.1739346DOI Listing

Energy-based devices for hemostasis in thyroid surgery.

Gland Surg 2020 Feb;9(Suppl 2):S153-S158

Department of Endocrine Surgery, Third Chair of General Surgery, Jagiellonian University Medical College, Krakow, Poland.

The evolution of operative techniques in thyroid surgery that has taken place over the past several decades would not have been possible if not for a sui generis revolution in surgery at the turn of the 19th and 20th centuries. The three most important events of the end of the 19th century, i.e. Read More

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http://dx.doi.org/10.21037/gs.2019.10.17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044082PMC
February 2020

Intraoperative neuromonitoring of the RLNs during TOETVA procedures.

Gland Surg 2020 Feb;9(Suppl 2):S129-S135

Department of General Surgery, School of Medicine, Ege University, Bornova, Izmir, Turkey.

Transoral endoscopic thyroidectomy by vestibular approach (TOETVA) is now being performed in increasing frequency and getting more and more attention. TOETVA is carried out through three incisions in the oral vestibular area. Thyroidectomy is performed endoscopically using conventional laparoscopic instruments, an energy based device and neuromonitoring instruments. Read More

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http://dx.doi.org/10.21037/gs.2019.11.21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044085PMC
February 2020

Clinical validation of S-Detect mode in semi-automated ultrasound classification of thyroid lesions in surgical office.

Gland Surg 2020 Feb;9(Suppl 2):S77-S85

Department of Endocrine Surgery, Third Chair of General Surgery, Jagiellonian University Medical College, Kraków, Poland.

Background: In recent years well-recognized scientific societies introduced guidelines for ultrasound (US) malignancy risk stratification of thyroid nodules. These guidelines categorize the risk of malignancy in relation to a combination of several US features. Based on these US image lexicons an US-based computer-aided diagnosis (CAD) systems were developed. Read More

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http://dx.doi.org/10.21037/gs.2019.12.23DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044084PMC
February 2020

[A pathological report of three COVID-19 cases by minimal invasive autopsies].

Zhonghua Bing Li Xue Za Zhi 2020 May;49(5):411-417

Institute of Pathology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, China.

To investigate the pathological characteristics and the clinical significance of novel coronavirus (2019-nCoV)-infected pneumonia (termed by WHO as coronavirus disease 2019, COVID-19). Minimally invasive autopsies from lung, heart, kidney, spleen, bone marrow, liver, pancreas, stomach, intestine, thyroid and skin were performed on three patients died of novel coronavirus pneumonia in Chongqing, China. Hematoxylin and eosin staining (HE), transmission electron microcopy, and histochemical staining were performed to investigate the pathological changes of indicated organs or tissues. Read More

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http://dx.doi.org/10.3760/cma.j.cn112151-20200312-00193DOI Listing

Influence of body mass index on the clinicopathological features of 13,995 papillary thyroid tumors.

J Endocrinol Invest 2020 Mar 12. Epub 2020 Mar 12.

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, China.

Purpose: This retrospective study aimed to assess the association between obesity, gender, and specific clinicopathological features in patients with papillary thyroid cancer (PTC) and whether diagnostic ultrasonography (US) is adversely affected by obesity in these patients.

Materials And Methods: This study retrospectively analyzed 13,995 adult patients with PTC from a single medical center in China. Data stratification was performed to assess the association of obesity with US features and aggressive clinicopathological features in different models according to the World Health Organization Body Mass Index (WHO-BMI) and Chinese BMI classification (CN-BMI). Read More

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http://dx.doi.org/10.1007/s40618-020-01216-6DOI Listing

Endoscopic parathyroidectomy: a retrospective review of 27 cases.

Surg Endosc 2020 Mar 12. Epub 2020 Mar 12.

Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, India.

Background: Primary hyperparathyroidism is a common endocrine disorder with adenomas being the most frequent cause. The condition is conventionally treated by a bilateral neck exploration through a cervical incision with removal of the affected glands. Intra-operative parathyroid hormone (IOPTH) monitoring and pre-operative Tc99m MIBI scans are facilitating focused approaches like minimally invasive video-assisted parathyroidectomy (MiVAP) and totally endoscopic parathyroidectomy (TOEP). Read More

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http://dx.doi.org/10.1007/s00464-020-07500-zDOI Listing