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Bilateral axillo-breast approach (BABA) robotic thyroidectomy has been performed since 2008, and the indications of the BABA robotic operation has been widened to the robotic modified radical neck dissection (MRND). The indication for BABA robotic MRND is suspicious lateral neck metastasis of well-differentiated thyroid carcinoma, and the contraindication is far advanced carcinoma such as encasement of common carotid artery. Surgical procedures start from flap formation as a routine BABA robotic

Both ET and RT can be safe and effective methods to treat thyroid diseases. However, the application of robotic system may help to overcome the limitations of the instruments and surgeon's skills.

The purpose of this study was to assess the relationship between vitamin D receptor gene (<i>VDR</i>) expression and prognostic factors in papillary thyroid cancer (PTC). mRNA sequencing and somatic mutation data from The Cancer Genome Atlas (TCGA) were analyzed. <i>VDR</i> mRNA expression was compared to clinicopathologic variables by linear regression. Tree-based classification was applied to find cutoff and patients were split into low and high <i>VDR</i> group. Logistic regression, Kaplan-Me

Abstract Background Saving the parathyroid gland during thyroidectomy remains challenging. Subcapsular saline injection (SCASI) was developed in February 2015. Its ability to spare the parathyroid gland was assessed. Methods All consecutive patients who underwent total thyroidectomy with or without neck lymph node dissection in 2013‐2015 were included in this retrospective cohort study. Patients were divided into the SCASI and non‐SCASI groups. Serum parathyroid hormone (PTH) levels were measure

BABA flap-site injection with ropivacaine and epinephrine mix before incision effectively and safely reduced postoperative pain. Future studies should focus on tailoring ropivacaine and epinephrine dosage for individuals.

This study revealed a relatively low frequency of TERT promoter mutations in Korean patients with PTC. Certain clinicopathological features including old age, tall cell variant, increased mitoses, tumour necrosis and gross ETE were found to be indicative of TERT promoter mutations in PTCs, suggesting that mutational analysis in a particular group of PTCs can be effective in regions with low mutation rates.

<i>Background and objectives</i>: Currently, few studies have been conducted on postoperative chylothorax, specifically in total thyroidectomy with modified radical neck dissection (MRND) in papillary thyroid carcinoma patients. This study provides the actual incidence, etiology, and clinical features of postoperative chylothorax and reports the clinical outcomes after treatment, which were dependent upon the severity of the complications. <i>Materials and Methods</i>: The medical charts of 111

Preoperative diagnosis of thyroid nodules reduces unnecessary surgery. Circulating tumor cells (CTCs) may contain information of primary tumor(s). We asked whether the peripheral blood expression of genes specific for circulating tumor cells (CTCs) differentiates benign thyroid nodules from malignant nodules. Peripheral blood mononuclear cells from thyroid nodule patients (<i>n</i> = 20) were isolated preoperatively and the expression of seven CTC-associated genes was measured in patients with t

We are presenting perspectives of how thyroid surgery has evolved from the past to the future. Technological process in thyroid surgery is the history of modern surgery and the evolution of knowledge of thyroid gland led us to the fields of organ preservation, hemostasis, cancer surgery, and minimally invasive surgery. Thyroid surgery in the present time is characterized by low mortality rate, low complication rate, and considerations about the quality of life of patients. Robotic surgery has be

<i>Background and Objectives</i><i>:</i> Preserving the recurrent laryngeal nerve (RLN) is important in thyroid surgery. However, no standardized surgical method for locating the RLN has been established. We defined a new anatomical definition termed "lower central triangle" (LCT) for consistent identification of RLN and used intraoperative nerve monitoring (IONM) to aid in identification and dissection of RLN. <i>Materials and Methods:</i> Patients undergone thyroidectomy were reviewed retrospe

Hypothyroidism is a recognized sequela of conventional thyroid lobectomy. However, there have been no studies on the incidence of hypothyroidism following the preservation of the isthmus and pyramid during lobectomy. Therefore, in the present study, we compared the incidence of hypothyroidism following conventional lobectomy and lobectomy during which the isthmus and pyramidal lobe were preserved. Data for a total of 65 patients collected between September 2018 and April 2019 were reviewed retro

이 글은 강남역 살인사건 이후 촉발된 여성혐오에 대한 논의를 배경으로, 교회 내 성범죄가 여성혐오에 기반 한 젠더폭력임을 보이고자 했다. 이를 위해 먼저 최근 20여 년 동안 교회 내 성범죄를 다룬 공론과 연구가 이 문제를 어떻게 설명해왔는지 검토한다. 몇몇 예외가 있지만 대부분의 연구가 목회상담이나 개인적 요인들에 대한 분석을 중심으로 이루어져왔다. 이는 성범죄를 개인의 문제로 환원할 위험을 가진다. 이 글은 성차별과 성범죄를 가능하게 하는 교회 환경에 주목한다. 특히 다양한 수준의 주변인들의 반응과 역할에 주목하여, 교회 구성원들이 성직자의 성범죄에 대해 이름 짓고 질문하기 어렵게 하는 여성혐오문화를 살펴본다. 교회 내 성범죄를 대하는 주변인들의 반응에서 주목할 점은 성직자의 성범죄를 ‘범죄’로 보는 공론이 결여되어 있다는 것이다. 이에 착안하여 교회 내 성범죄를 ‘범죄’로 인식하는 것, 더 나아가 여성혐오범죄로 판단하는 것에 어떠한 실익이 있는지 탐색한다.

A significant portion of patients with 2- to 4-cm PTCs, including those who preoperatively met the criteria for lobectomy, were found to have high-risk features on final pathology. Careful patient selection and appropriate counseling are necessary when considering lobectomy for tumors greater than 2 cm.