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Medicina
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Advances in Treatment and Management in Surgical Endocrinology
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Advances in Treatment and Management in Surgical Endocrinology

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (1 May 2022) | Viewed by 8275

Special Issue Editor

Dr. Nikolaos A. Michalopoulos

E-Mail Website
Guest Editor
Endocrine Surgeon, 3rd Department of Surgery, Ahepa University Hospital, Aristotle University, Thessaloniki, Greece
Interests: endocrine surgery; breast surgery; colorectal surgery; laparoscopic surgery

Special Issue Information

Dear Colleagues,

Surgical Endocrinology includes operations concerning diseases of the thyroid gland, parathyroid glands, adrenal gland and neuroendocrine tumors of the gastrointestinal tract. Advances in medical equipment and energy devices have facilitated minimal invasive surgery in the field of endocrine glands. These days, Minimal Invasive Total Thyroidectomy (MITT), Minimal Invasive Parathyroidectomy (MIP) and Laparoscopic Adrenalectomy (LA) are the treatments of choice for the majority of surgical endocrine diseases. Thus, today endocrine surgery is totally safe with zero mortality and minimized morbidity and hospitalization is less than a day in almost all cases. 

The aim of this issue is to update and summarize the modern techniques, equipment and innovations in endocrine surgery such as sophisticated energy devices, intraoperative neuromonitoring of recurrent laryngeal nerves, intraoperative visualization, identification and preservation of parathyroid gland with fluorescence or indocyanine green, laparoendoscopic techniques in adrenal and gastrointestinal neuroendocrine surgery. Moreover, we discuss, enlighten and clarify controversial matters in endocrine surgery such as the use or not of drains, the extent of cervical lymph nodes dissection, the role of prophylactic lymph node dissection in central compartment, and indications of laparoscopic surgery in adrenal tumors.

In the past century, Theodor Kocher received the Nobel Prize in medicine for his work in thyroid surgery. This issue elucidates the changes in endocrine surgery since Kocher’s era.

Dr. Nikolaos A. Michalopoulos
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • thyroid surgery
  • minimal invasive thyroidectomy
  • parathyroidectomy
  • laparoscopic adrenalectomy
  • neuroendocrine tumors of gastrointestinal tract
  • neuromonitoring
  • indocyanine

Published Papers (2 papers)

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Review

8 pages, 2618 KiB  
Review
Retrosternal Goitre: Anatomical Aspects and Technical Notes
by Enrico Battistella, Luca Pomba, Gisella Sidoti, Chiara Vignotto and Antonio Toniato
Medicina 2022, 58(3), 349; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58030349 - 25 Feb 2022
Cited by 3 | Viewed by 4014
Abstract
Background and Objectives: surgery for substernal goitre is still debated in the literature, due to the wide range of surgical options. This article outlines the findings of our extensive experiences, which include 264 cases of patients with “goitre plongeant“, and compares postoperative complications, [...] Read more.
Background and Objectives: surgery for substernal goitre is still debated in the literature, due to the wide range of surgical options. This article outlines the findings of our extensive experiences, which include 264 cases of patients with “goitre plongeant“, and compares postoperative complications, despite surgical approaches. Material and Methods: preoperative planning and anatomical landmarks are described to determine the potential need of a combined approach. The surgical procedure is described, along with some stratagems, to ensure that the operation is completed safely. A statistical analysis of complications and the length of stay, with a comparison of cervicotomy and combined access, was performed using the Pearson chi-square significance test. Results: 264 patients underwent thyroid surgery for substernal goitre. The Kocher incision was the surgical approach chosen in 256 patients (96.6%), while an accessory incision was performed in 8 patients (3.4%). The necessity to use a two-fold surgical access was linked to a higher rate of postoperative complications (p-value < 0.01). The average length of stay (LOS) for cervicotomy was 2 days (1–3 days), while the average LOS was 5 days (4–7 days) (p-value = n.s.) for combined access. Conclusions: cervicotomy should be the gold standard technique for exploring intrathoracic goitre with a digital dissection, which, in almost all cases, enables the externalization of the mediastinal portion associated. Sternotomy is related to a higher rate of complications, so it should be performed only in selected cases. Management in large-volume centres may be more appropriate. Full article
(This article belongs to the Special Issue Advances in Treatment and Management in Surgical Endocrinology)
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12 pages, 861 KiB  
Review
The Thyroid Gland: A Revision Study on Its Vascularization and Surgical Implications
by Jacopo J. V. Branca, Alfredo Lascialfari Bruschi, Antonino Marcello Pilia, Donatello Carrino, Giulia Guarnieri, Massimo Gulisano, Alessandra Pacini and Ferdinando Paternostro
Medicina 2022, 58(1), 137; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58010137 - 17 Jan 2022
Cited by 5 | Viewed by 3861
Abstract
Background: The “classic” thyroid gland arterial vascularization takes into account two superior thyroid arteries (STA), two inferior thyroid arteries (ITA) and, occasionally, a thyroid ima artery (TIMA). The present review focuses on exploring the available data concerning thyroid gland arterial vascularization and [...] Read more.
Background: The “classic” thyroid gland arterial vascularization takes into account two superior thyroid arteries (STA), two inferior thyroid arteries (ITA) and, occasionally, a thyroid ima artery (TIMA). The present review focuses on exploring the available data concerning thyroid gland arterial vascularization and its variations. Methods: Here, we analysed 49 articles from the last century, ranging from case reports to reviews concerning cadaver dissection classes, surgical intervention, and non-invasive techniques as well. Results: The harvested data clearly highlighted that: (i) the STA originates predominantly from the external carotid artery; (ii) the ITA is a branch of the thyrocervical trunk; and (iii) the TIMA is a very uncommon variant predominantly occurring to compensate for ITA absence. Conclusion: A systematic review of a highly vascularized organ is of great relevance during surgical intervention and, thus, the knowledge of normal anatomy and its modification is essential both for fact-finding and in surgery. Full article
(This article belongs to the Special Issue Advances in Treatment and Management in Surgical Endocrinology)
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