Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1
ABSTRACT Thyroidectomyis the most frequent endocrine surgical treatment for problems such as goiter, thyroid cancer, and Graves’ disease. The global incidence of goiter ranges from 5%-20%, with a notably high frequency in less wealthy countries, and the incidence of thyroid cancer is on the rise due...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Brazilian Society of Endocrinology and Metabolism
2025-04-01
|
| Series: | Archives of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972025000200300&lng=en&tlng=en |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850152249812058112 |
|---|---|
| author | Alvaro Sanabria Jose Luis Novelli Erivelto Volpi Ana Voogd Santiago Zund Luiz Paulo Kowalski Juan Pablo Dueñas |
| author_facet | Alvaro Sanabria Jose Luis Novelli Erivelto Volpi Ana Voogd Santiago Zund Luiz Paulo Kowalski Juan Pablo Dueñas |
| author_sort | Alvaro Sanabria |
| collection | DOAJ |
| description | ABSTRACT Thyroidectomyis the most frequent endocrine surgical treatment for problems such as goiter, thyroid cancer, and Graves’ disease. The global incidence of goiter ranges from 5%-20%, with a notably high frequency in less wealthy countries, and the incidence of thyroid cancer is on the rise due to the greater use of diagnostic imaging. Despite medical options, surgery remains essential. Surgical advancements such as blood vessel sealing technology, intraoperative laryngeal nerve neuromonitoring (IONM), remote access surgery, and parathyroid fluorescence have transformed thyroid surgery. Vessel sealing technologies reduce operative time and blood loss, whereas IONM preserves the laryngeal nerves. Remote access surgery, which includes a variety of techniques, produces results similar to those of open thyroidectomy with a longer operative time. Fluorescence enhances parathyroid detection and lowers the risk of temporary hypoparathyroidism. Economic studies reveal cost discrepancies, with advantages particularly visible in health care systems that depend on surgical time. While these advancements promise better patient outcomes, their accessibility and cost-effectiveness remain issues, particularly in Latin America. Recognizing these concerns, the Latin American Thyroid Society’s Surgical Affairs Committee conducted an extensive review of emerging thyroid surgery technologies to guarantee their proper use in the area. |
| format | Article |
| id | doaj-art-c9a2f5636117431eacb6bb6d9d5269e2 |
| institution | OA Journals |
| issn | 2359-4292 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Brazilian Society of Endocrinology and Metabolism |
| record_format | Article |
| series | Archives of Endocrinology and Metabolism |
| spelling | doaj-art-c9a2f5636117431eacb6bb6d9d5269e22025-08-20T02:26:02ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-42922025-04-0169210.20945/2359-4292-2024-0111Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1Alvaro Sanabriahttps://orcid.org/0000-0002-5563-8840Jose Luis Novellihttps://orcid.org/0009-0002-9437-8313Erivelto Volpihttps://orcid.org/0000-0003-2180-7893Ana Voogdhttps://orcid.org/0000-0002-4557-2550Santiago Zundhttps://orcid.org/0000-0001-6357-6136Luiz Paulo Kowalskihttps://orcid.org/0000-0002-0481-156XJuan Pablo Dueñashttps://orcid.org/0000-0002-7206-9037ABSTRACT Thyroidectomyis the most frequent endocrine surgical treatment for problems such as goiter, thyroid cancer, and Graves’ disease. The global incidence of goiter ranges from 5%-20%, with a notably high frequency in less wealthy countries, and the incidence of thyroid cancer is on the rise due to the greater use of diagnostic imaging. Despite medical options, surgery remains essential. Surgical advancements such as blood vessel sealing technology, intraoperative laryngeal nerve neuromonitoring (IONM), remote access surgery, and parathyroid fluorescence have transformed thyroid surgery. Vessel sealing technologies reduce operative time and blood loss, whereas IONM preserves the laryngeal nerves. Remote access surgery, which includes a variety of techniques, produces results similar to those of open thyroidectomy with a longer operative time. Fluorescence enhances parathyroid detection and lowers the risk of temporary hypoparathyroidism. Economic studies reveal cost discrepancies, with advantages particularly visible in health care systems that depend on surgical time. While these advancements promise better patient outcomes, their accessibility and cost-effectiveness remain issues, particularly in Latin America. Recognizing these concerns, the Latin American Thyroid Society’s Surgical Affairs Committee conducted an extensive review of emerging thyroid surgery technologies to guarantee their proper use in the area.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972025000200300&lng=en&tlng=enthyroidectomyhemorrhagelaryngeal nerve injurieshypoparathyroidismhealth care technology |
| spellingShingle | Alvaro Sanabria Jose Luis Novelli Erivelto Volpi Ana Voogd Santiago Zund Luiz Paulo Kowalski Juan Pablo Dueñas Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1 Archives of Endocrinology and Metabolism thyroidectomy hemorrhage laryngeal nerve injuries hypoparathyroidism health care technology |
| title | Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1 |
| title_full | Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1 |
| title_fullStr | Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1 |
| title_full_unstemmed | Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1 |
| title_short | Use of technologies in thyroid surgery: Latin American Thyroid Society Surgical Affairs Committee Expert Opinion. Part 1 |
| title_sort | use of technologies in thyroid surgery latin american thyroid society surgical affairs committee expert opinion part 1 |
| topic | thyroidectomy hemorrhage laryngeal nerve injuries hypoparathyroidism health care technology |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972025000200300&lng=en&tlng=en |
| work_keys_str_mv | AT alvarosanabria useoftechnologiesinthyroidsurgerylatinamericanthyroidsocietysurgicalaffairscommitteeexpertopinionpart1 AT joseluisnovelli useoftechnologiesinthyroidsurgerylatinamericanthyroidsocietysurgicalaffairscommitteeexpertopinionpart1 AT eriveltovolpi useoftechnologiesinthyroidsurgerylatinamericanthyroidsocietysurgicalaffairscommitteeexpertopinionpart1 AT anavoogd useoftechnologiesinthyroidsurgerylatinamericanthyroidsocietysurgicalaffairscommitteeexpertopinionpart1 AT santiagozund useoftechnologiesinthyroidsurgerylatinamericanthyroidsocietysurgicalaffairscommitteeexpertopinionpart1 AT luizpaulokowalski useoftechnologiesinthyroidsurgerylatinamericanthyroidsocietysurgicalaffairscommitteeexpertopinionpart1 AT juanpabloduenas useoftechnologiesinthyroidsurgerylatinamericanthyroidsocietysurgicalaffairscommitteeexpertopinionpart1 |