This open access book on thyroid surgery has been authored by an international team of contributors who present a comprehensive understanding of both benign and malignant thyroid disorders. It also outlines an interdisciplinary approach to their surgical management that reflects the latest changes in surgical techniques. The book reviews the most up-to-date literature available on thyroid surgery and presents it in a concise manner for use in clinical practice. For each thyroid disorder, the book covers etiology, clinical manifestations, diagnostic and localization procedures, as well as surgical and non-surgical treatment options. The operating techniques and postoperative management are explained in detail, while the benefits, risks, controversial issues, and cost-effectiveness of each approach are reviewed. To aid in the understanding of complex information, the book features drawings and photographs.
Written in an easy-to-understand style, the book includes tablesand diagrams that highlight best practices and current guidelines, as well as self-assessment material at the end of each section. It serves as an ideal resource for all levels of surgical experience, from a practical reference for endocrine surgeons to a perfect companion for students and residents.
Table of contents (20 chapters)
General Features and Indications for Surgery
Pages 1-1
History of Thyroid Surgery
Guido Gasparri
Pages 3-9
General Preoperative Workup, Informed Consent, Antibiotic Prophylaxis, and Anesthesia in Thyroid Surgery
Angela Gurrado, Lucia Ilaria Sgaramella, Elisabetta Poli, Walter Lavermicocca, Antonella Filoia, Mario Testini
Pages 11-19
Non-Neoplastic and Indeterminate Thyroid Lesions
Fabio Medas, Gian Luigi Canu, Federico Cappellacci, Pietro Giorgio Calò
Suspected Malignancy and Malignant Thyroid Tumors
Nunzia Cinzia Paladino, David Taïeb, Frédéric Sebag
Pages 27-37
Retrosternal, Forgotten, and Recurrent Goiter
Angela Gurrado, Francesco Paolo Prete, Giovanna Di Meo, Alessandro Pasculli, Elisabetta Poli, Lucia Ilaria Sgaramella et al.
Pages 39-46
Surgery: Cervical and Remote Approaches
Pages 47-47
Conventional Open Thyroidectomy
Mario Testini, Francesco Paolo Prete, Giovanna Di Meo, Alessandro Pasculli, Elisabetta Poli, Lucia Ilaria Sgaramella et al.
Pages 49-59
Minimally Invasive Video-Assisted Thyroidectomy
Marco Raffaelli, Carmela De Crea, Francesco Pennestrì, Pierpaolo Gallucci, Luca Revelli, Luca Sessa et al.
Pages 61-69
Cervical Lymphadenectomy in Papillary Thyroid Cancer
Belinda W. Hii, Fausto F. Palazzo
Pages 71-81
Robot-Assisted Transaxillary Thyroidectomy
Gabriele Materazzi, Leonardo Rossi
Pages 83-91
Robotic Bilateral Axillo-Breast Approach
Francesco Prete, Piercarmine Panzera, Giuseppe Massimiliano De Luca, Francesco Vittore, Carlotta Testini, Walter Lavermicocca et al.
Pages 93-99
Transoral Endoscopic Thyroidectomy Vestibular Approach: Lessons from a Five Years’ Experience
Daqi Zhang, Gianlorenzo Dionigi, Francesco Frattini, Andrea Cestari, Antonella Pino, Ozer Makay et al.
Pages 101-110
Prevention and Management of Perioperative Complications
Front Matter
Pages 111-111
Laryngeal Nerves Monitoring in Thyroid Surgery
Marcin Barczyński
Pages 113-122
Autotransplantation of the Parathyroid Glands in Thyroidectomy: The Role of Autofluorescence and Indocyanine Green
Lodovico Rosato, Luca Panier Suffat
Pages 123-129
Energy Devices, Hemostatic Agents, and Optical Magnification in Thyroid Surgery
Roberto M. Romano, Marcello Filograna Pignatelli, Sonia Ferrandes, Giovanni Docimo
Pages 131-136
Postoperative Hypoparathyroidism
Maurizio Iacobone, Francesca Torresan
Pages 137-144
Laryngeal Nerve Palsy
Carmela De Crea, Giuseppe Marincola, Lucia D’Alatri, Francesco Pennestrì, Priscilla Francesca Procopio, Pierpaolo Gallucci et al.
Pages 145-154
Prevention and Management of Perioperative Complications
Cervical Hematoma and Wound Complications
Paolo Carcoforo, Maria Grazia Sibilla, Margherita Koleva Radica
Pages 155-160
Tracheal Injury
Andrea Polistena, Francesco Puma, Nicola Avenia, Jacopo Vannucci
Pages 161-167
New Perspective Tools
Training and Learning Curves in Thyroid Surgery
Alessia Fassari, Marco Bononi, Giuseppe Cavallaro
Pages 171-177
The Angiogenic Microenvironment of Thyroid Cancer: An Insight into the Research of New Prognostic Markers
Alessandro Pasculli, Lucia Ilaria Sgaramella, Giovanna Di Meo, Francesco Paolo Prete, Angela Gurrado, Roberto Ria et al.
Pages 179-185
About the editors
Mario Testini is Full Professor of General Surgery at the Department of Precision and Regenerative Medicine and Ionian Area, University of Bari, Italy, and Head of the Department of Surgery at the Policlinic of Bari. At the time of writng, he is the Vice-President of the Italian Society of Surgery, and serves as a referee for its scientific and research programs. He is the Past President of the United Italian Society of Endocrine Surgery, and of the Italian Society of Digestive Tract Pathology. He has extensive expertise in clinical and surgical research in endocrine surgery, with particular reference to thyroid and parathyroid diseases, as well as in digestive, general and emergency surgery, and surgical oncology. He has a long research track record that includes innovations in thyroidectomy technique, molecular determinants of biological aggressiveness of thyroid cancer and optimized treatment strategy for thyroid cancer. He collaborates internationally with referenced scientists in the field of thyroid and parathyroid research. He has authored over 1000 scientific contributions between national and international congresses and research articles, of which more than 200 in high-ranking, peer-reviewed medical journals, along with several book chapters in national and international general surgery textbooks.
Angela Gurrado is Associate Professor of General Surgery at the Department of Precision and Regenerative Medicine and Ionian Area, University of Bari, Italy, and Consultant General Surgeon at the Academic General Surgery Division, Policlinic of Bari. She has studied the application of advanced technologies, minimally invasive and robotic approaches to the treatment of endocrine, breast and gastrointestinal neoplasms and strategies to reduce post-thyroidectomy complications. Recently, her research has expanded to the gene expression profile in thyroid cancer. She has authored over 250 scientific contributions between national and international congresses and research articles, of which more than 90 in high-ranking, peer-reviewed medical journals, and has been author in national and international general surgery textbooks.
