Thyroid Surgery.

• Superior document: Updates in Surgery Series
• Author: Testini, Mario.
• TeilnehmendeR: Gurrado, Angela.
• Place / Publishing House: Cham : : Springer International Publishing AG,, 2023.; ©2024.
• Year of Publication: 2023
• Edition: 1st ed.
• Language: English
• Series: Updates in Surgery Series
• Physical Description: 1 online resource (182 pages)

Table of Contents

Intro -- Foreword -- Foreword -- Preface -- Contents -- Part I: General Features and Indications for Surgery -- 1: History of Thyroid Surgery -- 1.1 Introduction -- 1.2 Anatomical Recognition of the Thyroid Gland -- 1.3 First Attempts in Thyroid Surgery -- 1.4 Progress in Thyroid Surgery -- 1.5 Billroth and Kocher -- 1.6 Recent Advances -- References -- 2: General Preoperative Workup, Informed Consent, Antibiotic Prophylaxis, and Anesthesia in Thyroid Surgery -- 2.1 General Preoperative Workup -- 2.1.1 History and Clinical Characteristics -- 2.1.2 Physical Examination -- 2.1.3 Laboratory Tests -- 2.1.4 Imaging Studies -- 2.2 Informed Consent -- 2.3 Anesthesia in Thyroid Surgery -- 2.4 Antibiotics in Thyroid Surgery -- References -- 3: Non-Neoplastic and Indeterminate Thyroid Lesions -- 3.1 Non-Neoplastic Thyroid Lesions -- 3.1.1 Nondiagnostic Cytology -- 3.1.2 Benign Cytology -- 3.2 Indeterminate Thyroid Lesions -- References -- 4: Suspected Malignancy and Malignant Thyroid Tumors -- 4.1 Introduction -- 4.2 Suspected Malignancy -- 4.3 Malignant Thyroid Tumors -- 4.4 Papillary Thyroid Cancer -- 4.5 Follicular Thyroid Cancer -- 4.6 Hürthle Cell Thyroid Cancer -- 4.7 Poorly Differentiated Thyroid Cancer -- 4.8 Anaplastic Thyroid Cancer -- 4.9 Medullary Thyroid Cancer -- 4.10 Treatment -- References -- 5: Retrosternal, Forgotten, and Recurrent Goiter -- 5.1 Retrosternal Goiter -- 5.2 Forgotten Goiter -- 5.3 Recurrent Goiter -- References -- Part II: Surgery: Cervical and Remote Approaches -- 6: Conventional Open Thyroidectomy -- 6.1 Introduction -- 6.2 Indications -- 6.3 Technical Considerations -- 6.3.1 Positioning -- 6.3.2 Surgical Technique -- 6.3.2.1 Incision -- 6.3.2.2 Exposure of the Thyroid Gland -- 6.3.2.3 Superior Parathyroid Glands -- 6.3.2.4 External Branch of the Superior Laryngeal Nerve.

6.3.2.5 Superior Thyroid Artery -- 6.3.2.6 Middle Thyroid Vein, Isthmus Vessels -- 6.3.2.7 Inferior Thyroid Artery -- 6.3.2.8 Recurrent Laryngeal Nerve -- 6.3.2.9 Inferior Parathyroid Glands -- 6.3.2.10 Procedure Completion -- References -- 7: Minimally Invasive Video-Assisted Thyroidectomy -- 7.1 Introduction -- 7.2 Surgical Technique -- 7.3 Indications -- 7.4 Outcomes -- 7.4.1 Postoperative Outcome -- 7.4.2 Oncologic Outcome -- References -- 8: Cervical Lymphadenectomy in Papillary Thyroid Cancer -- 8.1 Introduction -- 8.2 Definitions -- 8.2.1 Anatomical Terminology -- 8.2.2 Operative Terminology -- 8.3 Controversies in the Management of Nodal Disease in Papillary Thyroid Cancer -- 8.3.1 Difficulties in Preoperative Diagnosis of Nodal Metastases in the Central Neck -- 8.3.2 Effect of pCND on Recurrence -- 8.3.3 Effect of pCND on Staging and Radioiodine Use -- 8.3.4 Increased Rates of Operative Complications -- 8.4 Salvage Treatment for Central Node Recurrence -- 8.5 Conclusion -- References -- 9: Robot-Assisted Transaxillary Thyroidectomy -- 9.1 Introduction -- 9.1.1 Background -- 9.1.2 Indications and Contraindications -- 9.1.3 Instruments -- 9.2 Surgical Procedure -- 9.2.1 Patient Position -- 9.2.2 The Remote Access: From the Axilla to the Thyroid -- 9.2.3 Docking Time -- 9.2.4 Console Time: Thyroidectomy -- 9.3 Controversies -- 9.3.1 Oncological Safety and Efficacy -- 9.3.2 Conventional and Unconventional Complications -- 9.4 Conclusion -- References -- 10: Robotic Bilateral Axillo-Breast Approach -- 10.1 Background -- 10.2 Indications and Patient Selection -- 10.3 Procedure -- 10.4 Outcomes and Cost -- References -- 11: Transoral Endoscopic Thyroidectomy Vestibular Approach: Lessons from a Five Years' Experience -- 11.1 Introduction -- 11.2 Patients and Methods -- 11.3 Results -- 11.4 Discussion.

References -- Part III: Prevention and Management of Perioperative Complications -- 12: Laryngeal Nerves Monitoring in Thyroid Surgery -- 12.1 Introduction -- 12.2 Standardization of Intraoperative Neuromonitoring -- 12.3 Intermittent Intraoperative Neuromonitoring -- 12.4 NerveTrend Mode of Intermittent Intraoperative Neuromonitoring -- 12.5 Continuous Intraoperative Neuromonitoring -- 12.6 Monitoring of the External Branch of the Superior Laryngeal Nerve -- References -- 13: Autotransplantation of the Parathyroid Glands in Thyroidectomy: The Role of Autofluorescence and Indocyanine Green -- 13.1 Introduction -- 13.2 The Issue of Maintaining the Functionality of the Parathyroid Glands -- 13.3 Requirements for Adequate Localization of the Parathyroid Glands -- 13.4 Reimplantation of Parathyroid Glands -- References -- 14: Energy Devices, Hemostatic Agents, and Optical Magnification in Thyroid Surgery -- 14.1 Energy Devices -- 14.2 Hemostatic Agents -- 14.3 Optical Magnification -- References -- 15: Postoperative Hypoparathyroidism -- 15.1 Introduction -- 15.2 Etiology -- 15.3 Patient- and Disease-Related Risk Factors -- 15.4 Diagnosis -- 15.4.1 Clinical Presentation -- 15.4.2 Biochemical Testing -- 15.5 Postoperative Management of Postoperative Hypoparathyroidism -- 15.6 Long-Term Management and Complications of Postoperative Hypoparathyroidism -- 15.7 Conclusions -- References -- 16: Laryngeal Nerve Palsy -- 16.1 Applied Anatomy of the Laryngeal Nerves -- 16.2 Etiology, Prevalence and Risk Factors -- 16.3 Clinical Manifestations and Diagnosis -- 16.4 Prevention and Management -- 16.5 Conclusions -- References -- 17: Cervical Hematoma and Wound Complications -- 17.1 Introduction -- 17.2 Risk Factors -- 17.3 Recognition -- 17.4 Management -- References -- 18: Tracheal Injury -- 18.1 Traumatic Tracheal Injury.

18.2 Iatrogenic Tracheal Injury -- 18.3 Clinical Scenario -- 18.3.1 Radiological Investigations -- 18.4 Special Clinical Conditions -- 18.4.1 Tracheal Injury during Thyroid Surgery -- 18.4.2 Thyroid Tumors Invading the Airways -- References -- Part IV: New Perspective Tools -- 19: Training and Learning Curves in Thyroid Surgery -- 19.1 Introduction -- 19.2 Assessment of Performance and Learning in Thyroid Surgery -- 19.3 Analysis Criteria -- 19.4 Role of Surgeon's Experience -- 19.5 Role of Procedures -- 19.6 Conclusions -- References -- 20: The Angiogenic Microenvironment of Thyroid Cancer: An Insight into the Research of New Prognostic Markers -- 20.1 Introduction -- 20.2 The Thyroid Cancer Microenvironment and Angiogenesis -- 20.3 Angiogenic Mediators and their Prognostic Value -- References.