Skip to main content

Recent Advances in Thyroid Surgery

  • Chapter
  • First Online:
Tips and Tricks in Endocrine Surgery

Abstract

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:

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Further Reading

  • British Thyroid Association Guidelines on the management of thyroid cancer. 2007. http://www.british-thyroid-association.org/news/Docs/Thyroid_cancer_guidelines_2007.pdf. Accessed Jan 2011.

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Ferzli G, Sayaf P, Abdo Z, Cacchione R. Minimally invasive, nonendoscopic thyroid surgery. J Am Coll Surg. 2001;192(5):665–8.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Safe surgery saves lives. World Health Organisation. 2008. http://www.who.int/patientsafety/safesurgery/en/. Accessed Jan 2011.

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joel Anthony Smith FRCS (ORL-HNS), MBChB, BMedSc, DOHNS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Smith, J.A., Sadler, G.P. (2014). Recent Advances in Thyroid Surgery. In: Watkinson, J., Scott-Coombes, D. (eds) Tips and Tricks in Endocrine Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-2146-6_28

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-2146-6_28

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-982-6

  • Online ISBN: 978-1-4471-2146-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics