Recent Advances in Thyroid Surgery

  • Joel Anthony SmithEmail author
  • Gregory P. Sadler


The principles of thyroid surgery, meticulous anatomical dissection, careful vascular ligation, and preservation of surrounding structures, remain unchanged since they were popularized by Theodor Kocher in the late nineteenth century. The image of thyroid surgery has shifted away from the “horrible butchery” described by Gross in 1,866, to routine, same-day, or even outpatient surgery. In part this is due to technological advances along with a greater understanding of the anatomy and physiology of the gland. Recent advances in thyroid surgery can be divided into:


Recurrent Laryngeal Nerve Robotic Surgery Thyroid Surgery Harmonic Scalpel Recurrent Laryngeal Nerve Palsy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

  1. British Thyroid Association Guidelines on the management of thyroid cancer. 2007. Accessed Jan 2011.
  2. Cooper DS, Doherty GM, Haugen BR, Kloos RT, et al. Revised American Thyroid Association Guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid. 2009;19(11):1167–214.PubMedCrossRefGoogle Scholar
  3. Ecker T, Carvalho AL, Choe JH, Walosek G, et al. Hemostasis in thyroid surgery: harmonic scalpel versus other techniques—a meta-analysis. Otolaryngol Head Neck Surg. 2010;143:17–25.PubMedCrossRefGoogle Scholar
  4. Ferzli G, Sayaf P, Abdo Z, Cacchione R. Minimally invasive, nonendoscopic thyroid surgery. J Am Coll Surg. 2001;192(5):665–8.PubMedCrossRefGoogle Scholar
  5. Grodski S, Serpell J. Evidence for the role of perioperative PTH measurement after total thyroidectomy as a predictor of hypocalcemia. World J Surg. 2008;32(7):1367–73.PubMedCrossRefGoogle Scholar
  6. Higgins TS, Gupta R, Ketcham AS, Sataloff RT, Wadsworth JT, Sinacori JT. Recurrent laryngeal nerve monitoring versus identification alone on post-thyroidectomy true vocal fold palsy: a meta-analysis. Laryngoscope. 2011;121(5):1009–17.PubMedCrossRefGoogle Scholar
  7. Kang SW, Park JH, Jeong JS, Lee CR, et al. Prospects of robotic thyroidectomy using a gasless, transaxillary approach for the management of thyroid carcinoma. Surg Laparosc Endosc Percutan Tech. 2011;21(4):223–9.PubMedCrossRefGoogle Scholar
  8. Maeda S, Shimizu K, Minami S, Hayashida N, et al. Video-assisted neck surgery for thyroid and parathyroid diseases. Biomed Pharmacother. 2002;56(1):92–5.CrossRefGoogle Scholar
  9. Safe surgery saves lives. World Health Organisation. 2008. Accessed Jan 2011.
  10. Smith JA, Watkinson JC, Shaha A. Who should perform thyroid surgery? United Kingdom (UK) and United States (US) perspectives with recommendations. Eur Arch Otorhinolaryngol. 2011;269(1):1–4.PubMedCrossRefGoogle Scholar
  11. Sywak A, Yeh M, McMullen T, Stalberg P, et al. A randomized controlled trial of minimally invasive thyroidectomy using the lateral direct approach versus conventional hemithyroidectomy. Surgery. 2008;144(6):1016–22.PubMedCrossRefGoogle Scholar
  12. Tae K, Ji YB, Jeong JH, Lee S, et al. Robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach: our early experiences. Surg Endosc. 2011;25:221–8.PubMedCrossRefGoogle Scholar
  13. Yao HS, Wang Q, Wang WJ, Ruan CP. Prospective clinical trials of thyroidectomy with ligaSure vs conventional vessel ligation: a systematic review and meta-analysis. Arch Surg. 2009;144(12):1167–74.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Department of Otolaryngology, Head and Neck SurgeryUniversity Hospital Birmingham, Queen Elizabeth Medical CentreBirmingham, West MidlandsUK
  2. 2.Department of Endocrine SurgeryJohn Radcliffe HospitalOxfordUK

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