scholarly journals American Thyroid Association Statement on Remote-Access Thyroid Surgery

Thyroid ◽  
2016 ◽  
Vol 26 (3) ◽  
pp. 331-337 ◽  
Author(s):  
Eren Berber ◽  
Victor Bernet ◽  
Thomas J. Fahey ◽  
Electron Kebebew ◽  
Ashok Shaha ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Remote Access ◽  
American Thyroid Association

scholarly journals Single Surgeon Experience with 500 Cases of the Robotic Bilateral Axillary Breast Approach (BABA) for Thyroid Surgery Using the Da-Vinci Xi System

2021 ◽  
Vol 10 (18) ◽  
pp. 4048
Author(s):  
Yun-Suk Choi ◽  
Woo-Young Shin ◽  
Jin-Wook Yi
Keyword(s):  
Vocal Cord ◽  
Thyroid Surgery ◽  
Operation Time ◽  
Vocal Cord Palsy ◽  
Remote Access ◽  
Serum Thyroglobulin ◽  
Lymph Node Retrieval ◽  
Surgeon Experience ◽  
Thyroglobulin Level ◽  
Bilateral Axillary Breast Approach

Objectives: Robotic bilateral axillary breast approach (BABA) thyroid surgery began in 2008 and is now one of the most widely used remote-access thyroid surgeries worldwide. This study aimed to analyze the results of 500 robotic BABA thyroid surgeries performed in a single institution in Korea compared with open thyroid surgery. Methods: From December 2018 to March 2020, 502 robotic BABA thyroidectomies (RTs) and 531 conventional open thyroidectomies (OTs) were performed in our institution by a single endocrine surgeon. We retrospectively reviewed patient medical records and performed a comparative analysis of OT and RT. Results: The RT group was younger (43.41 ± 11.41 versus 54.28 ± 13.41 years, p < 0.001) and had a higher proportion of females (84.3% versus 69.3%, p < 0.001), a lower BMI (24.66 ± 3.97 versus 25.83 ± 4.07 kg/m2), a higher proportion of lobectomies (52.6% versus 45.2%) and a lower proportion of lateral neck dissections (3.4% versus 10.0%, p < 0.001). The RT group had a longer operation time (145.33 ± 40.80 versus 93.39 ± 43.55 min, p < 0.001) and higher surgical costs. Although the OT group had a larger tumor size and a higher proportion of extrathyroidal extension, the numbers of retrieved lymph nodes were not significantly different between the two groups. Additionally, there was no difference in the stimulated thyroglobulin level before radioactive iodine therapy (7.01 ± 35.73 versus 8.39 ± 58.77, p = 0.782). The rates of transient vocal cord palsy and transient hypoparathyroidism were significantly lower in the RT group, and those of scar-related complications were higher in the OT group. Conclusions: Robotic BABA thyroid surgery has advantages not only in better cosmetic outcomes but also in lower rates of vocal cord palsy and hypoparathyroidism, with comparable lymph node retrieval and serum thyroglobulin levels.

Nerve Monitoring in Remote Access Thyroid Surgery

2022 ◽  
pp. 133-139
Author(s):  
Nicholas R. Scott-Wittenborn ◽  
Areej Shihabi ◽  
Jonathon O. Russell ◽  
Emad Kandil ◽  
Ralph Tufano
Keyword(s):  
Thyroid Surgery ◽  
Remote Access ◽  
Nerve Monitoring

Patient's perception of remote access vs open thyroid surgery in Singapore

2017 ◽  
Vol 43 (12) ◽  
pp. 2398
Author(s):  
Tian Yu Qiu ◽  
Han Boon Oh ◽  
Olymphia Wong ◽  
Rajeev Parameswaran ◽  
Kee Yuan Ngiam
Keyword(s):  
Thyroid Surgery ◽  
Remote Access ◽  
Patient’S Perception

Remote-access thyroid surgery-progress, assessment, and reflection

2018 ◽  
Author(s):  
Kepal N. Patel ◽  
Ian Ganly ◽  
Ashok R. Shaha
Keyword(s):  
Thyroid Surgery ◽  
Remote Access

GUIDELINE IMPLEMENTATION ON FINE-NEEDLE ASPIRATION FOR THYROID NODULES: FOCUSING ON MICRONODULES

2020 ◽  
Vol 26 (9) ◽  
pp. 1017-1025
Author(s):  
Si Eun Lee ◽  
Eun-Kyung Kim ◽  
Hee Jung Moon ◽  
Jung Hyun Yoon ◽  
Vivian Youngjean Park ◽  
...  
Keyword(s):  
Thyroid Nodule ◽  
Fine Needle Aspiration ◽  
Thyroid Surgery ◽  
Thyroid Nodules ◽  
Guideline Implementation ◽  
Needle Aspiration ◽  
Data System ◽  
American Thyroid Association ◽  
Fine Needle ◽  
Thyroid Imaging

Objective: We investigated patients who were referred to our institution after fine-needle aspiration (FNA) was performed at outside clinics to evaluate how many nodules satisfied the FNA indications of the Korean Thyroid Imaging Reporting and Data System (K-TIRADS) and compare that to the number of thyroid nodules that satisfy the FNA indications of the American College of Radiology (ACR)-TIRADS and American Thyroid Association (ATA) guidelines. Methods: Between January 2018 and December 2018, 2,628 patients were included in our study. The included patients were those referred for thyroid surgery after having a suspicious thyroid nodule. We retrospectively applied the three guidelines to each thyroid nodule and determined whether each nodule satisfied the FNA indications. We compared the proportion of nodules satisfying the FNA indications of each guideline using a generalized linear model and generalized estimating equation. Results: The median size of the 2,628 thyroid nodules was 0.9 cm (range, 0.2 to 9.5 cm). We found that FNA was not indicated for 54.1%, 47.7%, and 19.1% of nodules and 87.3%, 99.0%, and 97.8% among them were micronodules (<1 cm) according to the ACR-TIRADS, ATA guideline, and K-TIRADS, respectively. The proportion of micronodules which satisfied the FNA indications was significantly higher for the K-TIRADS (65.1%) compared to the ACR TIRADS (12.1%) and ATA guideline (12.1%) ( P<.001). Conclusion: Among patients referred for thyroid surgery to our institutions, about 35% of the micronodules underwent FNA despite not being appropriate for indications by the K-TIRADS. Systematic training for physicians as well as modifications to increase the sensitivity of the guideline may be needed to reduce the overdiagnosis of thyroid cancers, especially for micronodules. Abbreviations: ACR = American College of Radiology; ATA = American Thyroid Association; FNA = fine-needle aspiration; K-TIRADS = Korean Thyroid Imaging Reporting and Data System; LN = lymph node; TIRADS = Thyroid Imaging Reporting and Data System; US = ultrasound

Remote Access Thyroid Surgery: A Review of Literature

2021 ◽  
Author(s):  
Akshay Kudpaje ◽  
Anand Subash ◽  
Narayana Subramaniam ◽  
Carsten E. Palme ◽  
Vishal Rao US ◽  
...  
Keyword(s):  
Thyroid Surgery ◽  
Remote Access ◽  
Review Of Literature

Surgery of the Thyroid in Children: Current Trends in Practice

2016 ◽  
Vol 7 (2) ◽  
pp. 57-63
Author(s):  
Alanna M Windsor ◽  
Eleanor P Kiell ◽  
Eric E Berg ◽  
Ken Kazahaya
Keyword(s):  
Thyroid Cancer ◽  
Thyroid Surgery ◽  
Thyroid Disease ◽  
Thyroid Nodules ◽  
Pediatric Patients ◽  
Task Force ◽  
Pediatric Population ◽  
American Thyroid Association ◽  
Thyroid Function Tests ◽  
Current Trends

ABSTRACT Thyroid surgery in the pediatric population is performed for a variety of benign and malignant conditions, including thyroid nodules, hyperthyroidism, goiter, and thyroid cancer. Thyroid nodules, though uncommon in children, are more likely to be malignant than in adults and require careful evaluation with history, imaging, thyroid function tests and often ultrasoundguided biopsy to determine which nodules will require further interventions. The treatment of thyroid malignancy is primarily surgical, though the extent of surgery is an area of active debate. Moreover, thyroid surgery in children may have a higher rate of complications, and a number proposals have been suggested to mitigate these risks. The guidelines developed by the 2015 American Thyroid Association Guidelines Task Force on Pediatric Thyroid Cancer are a helpful tool in directing the medical and surgical management of these complex patients, and provide a method for stratification of patient risk for recurrent disease. Children with thyroid disease are recommended to be cared for using a multidisciplinary approach and by providers and facilities experienced in management of pediatric patients. Surgery should be performed by surgeons experienced in pediatric cervical procedures. The objective of this review is to describe the range of thyroid disease affecting pediatric patients, examine current diagnostic algorithms, and discuss common treatment approaches, including the role for both surgery and adjunctive therapies. How to cite this article Windsor AM, Kiell EP, Berg EE, Kazahaya K. Surgery of the Thyroid in Children: Current Trends in Practice. Int J Head Neck Surg 2016;7(2):57-63.

Sign in / Sign up

Export Citation Format

Share Document