返回
Redo Thyroidectomy: Updated Insights
DOI:10.3390/jcm13185347.png)
摘要
En 中文
The risk of post-operatory hypothyroidism and hypocalcaemia, along with recurrent laryngeal nerve injury, is lower following a less-than-total thyroidectomy; however, a previously unsuspected carcinoma or a disease progression might be detected after initial surgery, hence indicating re-intervention as mandatory (so-called redo surgery) with completion. This decision takes into consideration a multidisciplinary approach, but the surgical technique and the actual approach is entirely based on the skills and availability of the surgical team according to the standard protocols regarding a personalised decision. We aimed to introduce a review of the most recently published data, with respect to redo thyroid surgery. For the basis of the discussion, a novel vignette on point was introduced. This was a narrative review. We searched English-language papers according to the key search terms in different combinations such as redo and thyroid, alternatively thyroidectomy and thyroid surgery, across the PubMed database. Inclusion criteria were original articles. The timeframe of publication was between 1 January 2020 and 20 July 2024. Exclusion criteria were non-English papers, reviews, non-human studies, case reports or case series, exclusive data on parathyroid surgery, and cell line experiments. We identified ten studies across the five-year most recent window of PubMed searches that showed a heterogeneous spectrum of complications and applications of different surgeries with respect to redo interventions during thyroid removal (e.g., recurrent laryngeal nerve monitoring during surgery, other types of incision than cervicotomy, the use of parathyroid fluorescence, bleeding risk, etc.). Most studies addressing novel surgical perspectives focused on robotic-assisted re-intervention, and an expansion of this kind of studies is expected. Further studies and multifactorial models of assessment and risk prediction are necessary to decide, assess, and recommend redo interventions and the most adequate surgical techniques.
Keyword:
thyroid nodule
ultrasound
surgery
thyroidectomy
thyroid cancer
redo
goitre
recurrent laryngeal nerve
parathyroid
AI总结
对已上传原文的论文进行重点信息的提取,主要内容包括:简要概述、研究摘要、背景介绍、关键亮点、图文解析、展望与总结。
期刊
IF:
2.9
论文数:
5.1W
被引数:
9.8W
机构
引用论文
ACOG Committee Opinion No. 745 Summary: Mode of Term Singleton Breech DeliveryACOG委员会意见第745号摘要:足月单胎臀位分娩方式
Structure properties and dielectric relaxation of Ca0.1Na0.9Ti0.1Nb0.9O3 ceramicCa0.1Na0.9Ti0.1Nb0.9O3 陶瓷的结构特性和介电弛豫
RSC Advances
IF0
Personalized management of differentiated thyroid cancer in real life - practical guidance from a multidisciplinary panel of experts
ENDOCRINE
IF2.9
Current evidences in poorly differentiated thyroid carcinoma: a systematic review and subsection meta-analysis for clinical decision making
ENDOCRINE
IF2.9
Gasless transoral robotic thyroidectomy using the DaVinci SP system: Feasibility, safety, and operative technique
ORAL ONCOLOGY
IF3.9

