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Minimally Invasive Surgical Oncology pp 331–353Cite as

Cancer of the Thyroid

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Abstract

Minimal access techniques for thyroid cancer have been carefully developed for a selected subset of thyroid pathologies. Consideration for minimal access surgery includes a detailed risk/benefit discussion, a thoughtful patient selection, and an intimate understanding of specific instrumentation and operative challenges. Fortunately, a decade of evidence is available to help guide the surgeon and patient in this endeavor. Concerns that are ever present in traditional open thyroid surgery are even more so in minimal access techniques, particularly intra-operative injury to recurrent laryngeal nerves, parathyroid glands, and failure to achieve an appropriate oncologic resection. These risks are offset by the potential benefits from accelerated short-term recovery and reduction in postoperative pain. The benefits of minimal access techniques may be limited in some approaches to cosmetics. Supporters of these new technologies appreciate improved visualization of nerves, parathyroid glands, or lymph nodes. This new techniques are still in development, and we describe here our early experience and tailored workup.

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Authors and Affiliations

  1. St Anthony Surgical Associates, 74 North Main Street, Florida, NY, 10921, USA

    Prashant Sinha

  2. Division of Metabolic, Endocrine and Minimally Invasive Surgery, The Mount Sinai Medical Center, 5 East 98th Street, 1259, New York, NY, 10029, USA

    William B. Inabnet

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  1. Prashant Sinha
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  2. William B. Inabnet
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Correspondence to William B. Inabnet .

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Editors and Affiliations

  1. Surgical Oncologist/Minimally Invasive S, Osborn Street 263, Philadelphia, 19128, Pennsylvania, USA

    Ronald Matteotti

  2. Chief, General Surgery, Department of Surgery, Brigham and Women's Hospital/Harvard Med, Francis St. 75, Boston, 02115, Massachusetts, USA

    Stanley W. Ashley

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Sinha, P., Inabnet, W.B. (2011). Cancer of the Thyroid. In: Matteotti, R., Ashley, S. (eds) Minimally Invasive Surgical Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-45021-4_25

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