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Redo Thyroidectomy: Updated Insights

delete2024-09-10
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OA
AI
L
Luminița Suveică
O
Oana-Claudia Sima
M
Mihai-Lucian Ciobica *
C
Claudiu Nistor *
A
Anca-Pati Cucu
M
Mihai Costăchescu
A
Adrian Ciuche
T
Tiberiu Vasile Ioan Nistor
M
Mara Carşote
DOI:10.3390/jcm13185347delete
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摘要

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
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期刊

Journal of Clinical Medicine 封面图
Journal of Clinical Medicine
IF:
2.9
论文数:
5.1W
被引数:
9.8W

机构

C
carol davila university of medicine & pharmacy
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8.6K
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被引数: 13
N
national institute of endocrinology c.i. parhon
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220
论文数: 152
被引数: 0
I
Institutul Clinic Fundeni
学者数:
939
论文数: 599
被引数: 580
N
nicolae testemitanu state university of medicine & pharmacy
学者数:
627
论文数: 377
被引数: 0
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