Thyroid and Parathyroid Surgery: New and Emerging Concepts

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About this Research Topic

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Background

New technologies and knowledge completely changed the diagnosis and surgical approach to thyroid and parathyroid diseases in the last decades.

Actually, the number of detected thyroid nodules has increased significantly thanks to the ultrasound accuracy. In addition, the management of hyperparathyroidism has similarly evolved with an increase of endocrine diseases. Prompt recognition and treatment of thyroid and parathyroid disorders could have a beneficial impact on health outcomes and could reduce the economic and social burden associated with the treatment of advanced diseases.

The practice of surgery for thyroid disease has seen many advances over the past decade, with most developments related to technologies focusing on the reduction of complications. Devices developed for surgical dissection with improved hemostasis and reduced heat transfer (and hence collateral tissue damage) are of particular interest in thyroid surgery. Laryngeal nerve injury and parathyroid gland dysfunction are complications of surgery with potentially devastating consequences and hence have been an area of focus for recent technological developments.

Conventional thyroidectomy has been the standard of care, but other innovative techniques have been pioneered such as a gasless endoscopic transaxillary thyroidectomy (GTET), the bilateral axillary-breast approach (BABA), behind-the-ear (RA) facelift approach and transoral endoscopic thyroidectomy via vestibular approach (TOETVA). The role of a multidisciplinary team which involves endocrine surgeons, endocrinologists, oncologists, nuclear radiologists and radiotherapists, is essential to find the right management of those patients.

The aim of this special issue is to provide a focus on new and emerging concepts about Thyroid and Parathyroid Surgery, including surgical techniques with possible complications, referral centers' experience, oncological outcomes and multidisciplinary approaches. The contributions by leading experts in this field would reach this goal especially, but not limited to, with state of the art reviews on minimally invasive surgery or novel approaches to thyroid and parathyroid cancer.

Keywords: Thyroid Surgery, Parathyroid Surgery, New and Emerging Concepts, New Technologies, GTET, BABA, RA, TOETVA, Minimally Invasive Surgery, Surgery

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