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Total Thyroidectomy

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Atlas of Thyroid Surgery

Abstract

Thyroid resection, either lobectomy or total thyroidectomy are the most common surgical endocrine operations [1]. Although in the last decades new surgical approaches have been described, conventional open thyroidectomy remains the goal standard for the surgical treatment for both benign and malignant disorders [2–9] Since the refinement of this surgical procedure by the Nobel Prize awarded surgeon Theodore Kocher, advancements in the surgical technique and the development of ancillary tools such as surgical loupes, advanced energy devices and intraoperative neuromonitoring (ioNM) have help to diminishing operative time and procedure associated complications. Although their use is not compulsory, it is recommended by the current scientific literature [10, 11–14]. In addition, the development of endocrine surgery training programs has significantly improved the outcomes of patients with thyroid related disorders [15].

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References

  1. Oertli D. Technique of thyroidectomy. In: Oertli D, Udelsman R, editors. Surgery of the thyroid and parathyroid glands. Berlin, Heidelberg: Springer; 2007. https://doi.org/10.1007/978-3-540-68043-7_7.

    Chapter  Google Scholar 

  2. Gosnell JE, Clark OH. Surgical approaches to thyroid tumors. Endocrinol Metab Clin N Am. 2008;37(2):437–55.

    Article  Google Scholar 

  3. Ikeda Y, Takami H, Sasaki Y, Kans S, Niimi M. Endoscopic neck surgery by the axillary approach. J Am Coll Surg. 2000;191(3):336–40.

    Article  CAS  Google Scholar 

  4. Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, Kitajima M. Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech. 2000;10(1):1–4.

    Article  CAS  Google Scholar 

  5. Miccoli P, Berti P, Raffaelli M, Conte M, Materazzi G, Galleri D. Minimally invasive video-assisted thyroidectomy. Am J Surg. 2001;181:567–70.

    Article  CAS  Google Scholar 

  6. Shimazu K, Shiba E, Tamaki Y, Takiguchi S, Taniguchi E, Ohashi S, Noguchi S. Endoscopic thyroid surgery through the axillo-bilateral-breast approach. Surg Laparosc Endosc Percutan Tech. 2003;13(3):196–201.

    Article  Google Scholar 

  7. Choe JH, Kim SW, Chung KW, Park KS, Han W, Noh DY, Oh SK, Youn YK. Endoscopic thyroidectomy using a new bilateral axillo-breast approach. Word J Surg. 2007;31(3):601–6.

    Article  Google Scholar 

  8. Terris DJ, Singer MC, Seybt MW. Robotic facelift thyroidectomy: patient selection and technical considerations. Surg Laparosc Endosc Percutan Tech. 2011;21(4):237–42.

    Article  Google Scholar 

  9. Anuwong A. Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg. 2016;40(3):491–7.

    Article  Google Scholar 

  10. Duke WS, Chaung K, Terris DJ. Contemporary surgical techniques. Otolaryngol Clin N Am. 2014;47(4):529–44.

    Article  Google Scholar 

  11. Cirocchi R, D’Ajello F, Trastulli S, Santoro A, Di Rocco G, Vendettuoli D, Rondelli F, Giannotti D, Sanguinetti A, Minelli L, Redler A, Basoli A, Avenia N. Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie. World J Surg Oncol. 2010;8:112.

    Article  Google Scholar 

  12. D’Orazi V, Panunzi A, Di Lorenzo E, Ortensi A, Cialini M, Anichini S, Ortensi A. Use of loupes magnification and microsurgical technique in thyroid surgery: ten years’ experience in a single center. G Chir. 2016;37(3):101–7.

    PubMed  PubMed Central  Google Scholar 

  13. Smith RB, Coughlin A. Thyroidectomy hemostasis. Otolaryngol Clin N Am. 2016;49(3):727–48.

    Article  Google Scholar 

  14. Schneider R, Machens A, Lorenz K, Dralle H. Intraoperative nerve monitoring in thyroid surgery-shifting current paradigms. Gland Surg. 2020;9(Suppl 2):S120–8.

    Article  Google Scholar 

  15. Runkel N, Riede E, Mann B, Buhr HJ. Surgical training and vocal-cord paralysis in benign thyroid disease. Langenbeck's Arch Surg. 1998;383:240–2.

    Article  CAS  Google Scholar 

  16. Yip L, Stang MT, Carty SE. Thyroid carcinoma: the surgeon’s perspective. Radiol Clin N Am. 2011;49(3):463–71.

    Article  Google Scholar 

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Pérez-Soto, R.H., Trolle-Silva, A.M., Herrera, M.F. (2022). Total Thyroidectomy. In: Shifrin, A. (eds) Atlas of Thyroid Surgery . Springer, Cham. https://doi.org/10.1007/978-3-030-93673-0_8

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  • DOI: https://doi.org/10.1007/978-3-030-93673-0_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-93672-3

  • Online ISBN: 978-3-030-93673-0

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