Management of surgical diseases of thyroid gland indications of the United Italian Society of Endocrine Surgery (SIUEC)

Updates in Surgery · 13 authors, 13 centres

AI SUMMARY

FIDELITY 100%

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

“

TL;DR

This is an expert guideline from the United Italian Society of Endocrine Surgery that reviews and updates protocols for the diagnosis and surgical management of thyroid diseases. It provides recommendations on preoperative evaluation, surgical techniques, and postoperative care, with a focus on preventing and managing complications like recurrent laryngeal nerve injury.

Full summary

941 CHARS

A task force of 13 experts from the SIUEC drafted this updated guideline to review protocols for thyroid surgery, considering new technologies, oncological concepts, and tailored approaches. The guideline covers clinical evaluation, preoperative workup, surgical treatment, postoperative management, and complication prevention. It details risk factors for recurrent laryngeal nerve (RLN) palsy, including both preoperatively predictable risks like locally advanced cancer and unpredictable intraoperative situations. It recommends using intraoperative neuromonitoring (IONM) and specific technical measures to prevent nerve injury, such as visualizing the entire nerve course and avoiding heat sources near it. The text describes management strategies for RLN injuries, including reconstruction techniques and protocols for bilateral vocal cord paralysis. Implications are to guide surgeons with modern, rational protocols for patient care.

STUDY TYPE

guidelines

SPECIALTY

surgery

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10435599

Management of surgical diseases of thyroid gland indications of the United Italian Society of Endocrine Surgery (SIUEC)

Updates in Surgery

READ THE FULL PAPER

ABSTRACT

A task force of the United Italian society of Endocrine Surgery (SIUEC) was commissioned to review the position statement on diagnostic, therapeutic and health‑care management protocol in thyroid surgery published in 2016, at the light of new technologies, recent oncological concepts, and tailored approaches. The objective of this publication was to support surgeons with modern rational protocols of treatment that can be shared by health-care professionals, taking into account important clinical, healthcare and therapeutic aspects, as well as potential sequelae and complications. The task force consists of 13 members of the SIUEC highly trained and experienced in thyroid surgery. The main topics concern clinical evaluation and preoperative workup, patient preparation for surgery, surgical treatment, non-surgical options, postoperative management, prevention and management of major complications, outpatient care and follow-up.

CITATION EXPORT

P. Del Rio, A. Polistena, M. G. Chiofalo et al.. Management of surgical diseases of thyroid gland indications of the United Italian Society of Endocrine Surgery (SIUEC). Updates in Surgery. (2023). https://doi.org/10.1007/s13304-023-01522-7

AUTHORS

13 · 13 CENTRES

P. Del Rio, A. Polistena, M. G. Chiofalo, L. De Pasquale, G. Dionigi, G. Docimo, G. Graceffa, M. Iacobone, Fabio Medas, A. Pezzolla, S. Sorrenti, S. Spiezia, P. G. Calò

1grid.10383.390000 0004 1758 0937Unit of General Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy
2grid.7841.aDepartment of Surgery Pietro Valdoni, University of Rome Sapienza, Rome, Italy
3grid.508451.d0000 0004 1760 8805Department Head and Neck, Thyroid Surgery Unit, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, Naples, Italy
4grid.4708.b0000 0004 1757 2822Thyroid and Parathyroid Service, Otolaryngology Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Milan, Italy
5grid.4708.b0000 0004 1757 2822Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
6grid.418224.90000 0004 1757 9530Division of Surgery, Istituto Auxologico Italiano Instituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milan, Italy
7grid.9841.40000 0001 2200 8888Division of Thyroid Surgery, University of Campania “L. Vanvitelli”, Naples, Italy
8grid.10776.370000 0004 1762 5517Department of Surgical Oncological and Oral Sciences, University of Palermo, Palermo, Italy
9grid.411474.30000 0004 1760 2630Endocrine Surgery Unit, Department of Surgery, Oncology and Gastroenterology, Padova University Hospital, Padova, Italy
10grid.7763.50000 0004 1755 3242Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
11grid.7644.10000 0001 0120 3326Division of Videolaparoscopic Surgery, Department of Emergency and Organ Transplanatation, University of Bari “A. Moro”, Bari, Italy
12grid.7841.aDepartment of Surgery, “Sapienza” University of Rome, Rome, Italy
13Department of Endocrine and Ultrasound-guided Surgery, Ospedale del Mare, Naples, Italy