Symposium on Evidence-Based Endocrine Surgery (2): Benign Thyroid Disease
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In this, the second of a series of symposia on Evidence-based Endocrine Surgery, the surgical management of benign thyroid disease is reviewed. Henning Dralle, editor of a previous World Journal of Surgery symposium, on thyroid cancer, commented on the relative paucity of an evidence base in relation to the surgical management of endocrine disorders, including thyroid cancer, noting that the bulk of recommendations in endocrine surgery derive from the level IV evidence, at best. If that is the case for the surgical management of thyroid cancer, then the surgical management of benign thyroid disease is indeed the Cinderella of endocrine disorders in relation to an existing evidence base and relevant research.
This is not to say that the surgical management of benign thyroid disease is not an important topic for consideration in such a symposium. It has a rich history: Theodore Kocher, the first surgeon ever to be awarded a Nobel Prize, received it in 1909 for his pioneering work in...