Updates and New Technology in Endocrine Surgery

Focus on endocrine surgery

Authors: Giovanni Conzo

Impact of the new guidelines of the American Thyroid Association on the treatment of the differentiated thyroid tumor in an Italian center with medium-high volume thyroid surgery

The therapy for differentiated thyroid tumors is currently built upon two cornerstones: the stage of the disease and the new guidelines of the American Thyroid Association, jointly converging to lobohystmectom...

Authors: Aldo Bove, Paolo Panaccio, Gino Palone, Ludovica Esposito, Lucia Marino and Giuseppe Bongarzoni

Thyroiditis process as a predictive factor of sternotomy in the treatment of cervico-mediastinal goiter

About 10% of cervico-mediastinal goiter need to associate cervicotomy with a total or partial sternotomy to allow a safe removal of the goiter.

Authors: Claudio Casella, Sarah Molfino, Carlo Cappelli, Federica Salvoldi, Mauro Roberto Benvenuti and Nazario Portolani

Stage-related outcome for thymic epithelial tumours

Thymic epithelial tumours (TETs) are characterized by a wide variety of biological behaviors. Radical resection and stage are strong prognostic factors. Aim of this study is to review our Single Center Experie...

Authors: Valentina Tassi, Jacopo Vannucci, Silvia Ceccarelli, Alessio Gili, Alberto Matricardi, Nicola Avenia and Francesco Puma

Postoperative hypocalcemia: analysis of factors influencing early hypocalcemia development following thyroid surgery

Early Hypocalcemia is the most frequent complication after thyroid surgery. Several studies have tried to identify factors (patient caracteristics or surgical technique variations) affecting hypocalcemia follo...

Authors: Paolo Del Rio, Matteo Rossini, Chiara Montana Montana, Lorenzo Viani, Giuseppe Pedrazzi, Tommaso Loderer and Federico Cozzani

May predictors of difficulty in thyroid surgery increase the incidence of complications? Prospective study with the proposal of a preoperative score

Although thyroidectomy is one of the most common surgical procedures performed worldwide, some permanent complications, despite the considerably reducing incidence, may affect dramatically the patients quality...

Authors: Valerio D’Orazi, Andrea Sacconi, Silvia Trombetta, Menelaos Karpathiotakis, Daniele Pichelli, Enrico Di Lorenzo, Alice Ortensi, Paolo Urciuoli, Marco Biffoni and Andrea Ortensi

Does antithrombotic prophylaxis worsen early outcomes of total thyroidectomy? - a retrospective cohort study

Currently, there is no strong evidence on the effectiveness and safety of pharmacological antithrombotic prophylaxis in thyroid surgery. The aim of this study was to establish whether the prophylactic use of l...

Authors: E. Erdas, F. Medas, S. Sanna, L. Gordini, G. Pisano, G. L. Canu and P. G. Calò

The role of prophylactic central compartment lymph node dissection in elderly patients with differentiated thyroid cancer: a multicentric study

Prophylactic central neck lymph-nodes dissection is still a topic of major debate in Literature. There is a lack of randomized controlled trials proving advantages in its application in terms of overall surviv...

Authors: Claudio Gambardella, Renato Patrone, Francesco Di Capua, Chiara Offi, Claudio Mauriello, Guglielmo Clarizia, Claudia Andretta, Andrea Polistena, Alessandro Sanguinetti, Pietrogiorgio Calò, Giovanni Docimo, Nicola Avenia and Giovanni Conzo

Follicular proliferation TIR3B: the role of total thyroidectomy vs lobectomy

TIR3B thyroid nodules are considered to be at risk of malignancy (15–30%) but guidelines recommend conservative surgery with lobectomy with primary diagnostic porpoise. Risk stratification mainly based on ultr...

Authors: Andrea Polistena, Alessandro Sanguinetti, Roberta Lucchini, Stefano Avenia, Sergio Galasse, Raffaele Farabi, Massimo Monacelli and Nicola Avenia

Transaxillary robotic-assisted thyroid surgery: technique and results of a preliminary experience on the Da Vinci Xi platform

Robotic thyroidectomy by transaxillary approach (RATS) is regarded as a feasible and safe alternative procedure in selected patients with benign disease or thyroid cancer of low risk, facilitating thyroidectom...

Authors: Francesco Paolo Prete, Rinaldo Marzaioli, Serafina Lattarulo, Daniele Paradies, Graziana Barile, Maria Vittoria d’Addetta, Giovanni Tomasicchio, Angela Gurrado and Angela Pezzolla

Skip metastases to lateral cervical lymph nodes in differentiated thyroid cancer: a systematic review

Papillary thyroid carcinoma is a slow-growing cancer with a generally good prognosis that sometimes have an aggressive behaviour. Metastases to neck lymph nodes is the first step of the diffusion. The central ...

Authors: Andrea Attard, Nunzia Cinzia Paladino, Attilio Ignazio Lo Monte, Nicola Falco, Giuseppina Melfa, Giulia Rotolo, Stefano Rizzuto, Eliana Gulotta, Giuseppe Salamone, Sebastiano Bonventre, Gregorio Scerrino and Gianfranco Cocorullo

Thyroid disease and cancer in kidney transplantation: a single-center analysis

Thyroid diseases are frequent in patients with end-stage renal disease, but data on renal transplant recipients are conflicting. This study evaluated the incidence of thyroid disease and cancer in a population...

Authors: Massimiliano Veroux, Giuseppe Giuffrida, Salvatore Lo Bianco, Matteo Angelo Cannizzaro, Daniela Corona, Alessia Giaquinta, Chiara Palermo, Fausto Carbone, Anna Carbonaro, Maria Teresa Cannizzaro, Rossella Gioco and Pierfrancesco Veroux

Intraoperative parathyroid hormone (PTH) testing in patients with primary hyperparathyroidism and PTH levels in the normal range

Primary hyperparathyroidism is a common endocrine disorder. Hypercalcemia with normal PTH levels is very unusual and can lead to diagnostic difficulties. There are very few very few studies in the literature a...

Authors: Fabio Medas, Enrico Erdas, Giulia Loi, Francesco Podda, Lucia Barca, Giuseppe Pisano and Pietro Giorgio Calò

Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes

laparoscopic adrenalectomy has become the standard treatment for adrenal lesions. The better clinical outcoms of laparoscopic technique are valid for treatment of small benign masses (< 5–6 cm), instead there ...

Authors: Giuseppe Di Buono, Salvatore Buscemi, Attilio Ignazio Lo Monte, Girolamo Geraci, Vincenzo Sorce, Roberto Citarrella, Eliana Gulotta, Vincenzo Davide Palumbo, Salvatore Fazzotta, Leonardo Gulotta, Domenico Albano, Massimo Galia, Giorgio Romano and Antonino Agrusa

Effect of unilateral adrenalectomy on the quality of life of patients with lateralized primary aldosteronism

Primary aldosteronism (PA) is associated with an increased prevalence of anxiety and depression. Subnormal quality of life (QoL) scores in PA patients may be improved after surgical treatment. The aim of the s...

Authors: Marilisa Citton, Giovanni Viel, Francesca Torresan, Gian Paolo Rossi and Maurizio Iacobone

The impact of the ultrasonic, bipolar and integrated energy devices in the adrenal gland surgery: literature review and our experience

The gold standard approach for surgical treatment of benign and malignant adrenal lesion is considered the laparoscopic one, due to a lot of advantages compared to open approach. The rapid propagation of this ...

Authors: Renato Patrone, Claudio Gambardella, Roberto Maria Romano, Clarizia Gugliemo, Chiara Offi, Claudia Andretta, Antonio Vitiello, Ernesto Tartaglia, Luigi Flagiello, Alessandra Conzo, Claudio Mauriello and Giovanni Conzo

Advanced hemostasis in axillary lymph node dissection for locally advanced breast cancer: new technology devices compared in the prevention of seroma formation

Breast cancer is the most frequent neoplasm in women. Axillary lymph nodes dissection represents the treatment of choice in locally advanced breast cancer for prognostic and curative purposes. Seroma formation...

Authors: Claudio Gambardella, Guglielmo Clarizia, Renato Patrone, Chiara Offi, Claudio Mauriello, Roberto Romano, Marco Filardo, Alessandra Conzo, Alessandro Sanguinetti, Andrea Polistena, Nicola Avenia and Giovanni Conzo

The axillary flap in oncoplastic resection of breast cancers located in the upper-outer quadrants: a new surgical technique

The combination of breast conserving surgery (BCS) with plastic surgery techniques has provided a useful surgical tool matching the radicality of the oncological excision with the preservation of breast cosmes...

Authors: Daniele Bordoni, Pierfrancesco Cadenelli, Matteo Ornelli, Giuseppe Falco, Antonello Accurso, Antonio Gloria, Saverio Maietta, Nicola Rocco and Cesare Magalotti

Mesenteric lymph nodes as alternative site for pancreatic islet transplantation in a diabetic rat model

Islet transplantation has progressively become a safe alternative to pancreas transplantation for the treatment of type 1 diabetes. However, the long-term results of islet transplantation could be significantl...

Authors: Massimiliano Veroux, Rita Bottino, Roberta Santini, Suzanne Bertera, Daniela Corona, Domenico Zerbo, Giovanni Li Volti, Burcin Ekser, Lidia Puzzo, Marco Raffaele, Salvatore Lo Bianco, Alessia Giaquinta, Pierfrancesco Veroux and Luca Vanella