Journal of Surgical Endocrinology

Journal of Surgical Endocrinology

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Table of Content: Volume 2, Issue 1

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Research Article Pages 61-66

Predictors of Postoperative Hypocalcemia after Total Thyroidectomy: The Role of a Single Intraoperative Rapid PTH

Authors: Marc Rafols, MD, Daniela Treitl, MD, Luis E Rosario, MD, Juan Paramo, MD, Luigi X Cubeddu MD, Ph.D and Thomas Mesko, MD

Abstract: Postoperative hypocalcemia (PoHC) is the most common complication of total thyroidectomy (TT). The availability of a reliable predictor of PoHC would allow early calcium supplementation, avoiding hypocalcemia, and potentially decreasing hospital stay.

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Research Article Pages 55-60

Alternatives to the Pre-operative Medical Management of Pheochromocytoma

Authors: Daniela Guevara, MD, Aryan Meknat, MD, Aida Taye Bellistri, MD, Alice C Levine, MD, William Inabnet III, MD and Gustavo Fernández-Ranvier, MD, PhD

Abstract: During the resection of pheochromocytomas hemodynamic instability can occur. It is for this reason that pre-operative control of blood pressure and heart rate with non-selective alpha-blockers has been recommended. Other agents have emerged as alternatives to the preoperative management of symptoms of catecholamine excess.

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Review Article Pages 49-54

Feasibility of the TOETVA as an Ambulatory Procedure

Authors: Gustavo G Fernández-Ranvier, MD, PhD, Daniela Guevara, MD, Ghayth Alawwa, MD, Aryan Meknat, MD, Benjamin Lieberman, DO and William B Inabnet, MD

Abstract: Standard open thyroidectomy has been shown to be feasible and safe as an ambulatory procedure in carefully selected patients. Our aim is to present a protocol with our experience for performing transoral endoscopic thyroidectomy vestibular approach (TOETVA) as an ambulatory procedure that is safe, feasible and applicable as has been shown with open thyroidectomy.

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Case Report Pages 46-48

Gasping for Air, a Case Study of an Obstructing Thyroid Gland Mass

Authors: Aakash Trivedi OMS-IV, Aline Dang, DO, Clive Persaud, DO and Derick Christian, MD

Abstract: Hürthle cell metaplasia of the thyroid gland can present with a variety of benign or malignant characteristics. At times, it can progress to a large mass causing a myriad of symptoms including dysphagia, vascular compression, and respiratory distress. We present a case of a 73-year-old woman with untreated, longstanding Hürthle cell metaplasia and fibrosis leading to significant airway obstruction.

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Research Article Pages 40-45

Association between Breast and Thyroid Cancer among Women in Arkansas

Authors: Merry M Peckham, BA, Tyler K Rose, MS, William M Mitchell, BS, Yevgeniya Gokun, MS, Shorabuddin Syed, MS, Deanne King, MD, PhD and Brendan C Stack, Jr., MD, FACS, FACE

Abstract: Growing evidence suggests a bi-directional relationship between breast and thyroid cancer in women worldwide. This study investigates whether a relationship exists among women in Arkansas. Retrospective chart review of patients at University of Arkansas for Medical Sciences was conducted on patients with breast cancer and thyroid disease in The Arkansas Breast Cancer database and EPIC EMR.

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Case Report Pages 36-39

A Case Report of a Robotic Thoracosopic Parathyroidectomy in a Community Hospital

Authors: Emily Ann Harris, MD, Shabirhusain S Abadin, MD, MPH, FACS and Keith D Bowersox, MD, PhD

Abstract: Mediastinal parathyroid adenomas pose a technical challenge to surgeons, as they exist in remote and difficult to access locations. Historically, approaches using sternotomy, thoracotomy, and even VATS, have been implemented. However, recently the da Vinci Robotic surgical systems have gained popularity for resection of these lesions. In this case report, we document an incident where the da Vinci Robot is used to resect an aortopulmonary window parathyroid adenoma.

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Original Article Pages 30-35

Demographic and Clinicopthologic Properties of Patients Operated for Adrenal Masses

Authors: Ali Aktekin, Umut Kına, Seher Tanrıkulu, Gulistan Gumrukcu and Meryem Gunay Gurleyik

Abstract: The prevalence of adrenal incidentaloma is nearly 4 to 10% and increases with age. Most adrenal masses are nonfunctioning adrenocortical adenomas and found as an adrenal incidentaloma in 80% of cases, but also be conditions requiring therapeutic intervention. We presented our patients with adrenal masses and their management.

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Research Article Pages 26-29

Some Striking Points of Laparoscopic Enucleation of Pancreatic Insulinoma

Authors: Ali Aktekin, Seher Tanrikulu, Abdullah Ramazan, Aylin Gonultas and Can Saracoglu

Abstract: Insulinoma mostly located at the body and the tail of the pancreas and are ideal candidates for minimal invasive surgery. This article presents our patients with diagnosis of insulinoma and discusses strategic and technical aspects of their surgical managements.

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Short Review Pages 21- 25

Neck Endocrine Surgery in the Era of COVID-19 Surgical Decision Making and Operative Execution

Authors: Phillip K Pellitteri, DO, MHA, FACS, Nicholas Purdy, DO, FACS, Timothy Lindemann, MD, FACS, FAAOA, Thorsen Haugen, MD and Thomas L Kennedy, MD, FACS

Abstract: Patients with surgical endocrine disorders related to the thyroid and parathyroid glands, will require stratification for treatment as determined by severity of disease and recalcitrance to medical therapy in an environment which conserves healthcare related resources and possesses limited viral testing capability.

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Research Article Pages 16-20

Differences in Adrenal Size as they Relate to Pheochromocytomas

Authors: Daniela Guevara, Aryan Meknat, Aida Taye Bellistri, Hyunsuk Suh, Alice C Levine, William Inabnet III and Gustavo Fernández-Ranvier

Abstract: Pheochromocytomas can present with a wide variety of clinical features. Tumor size of pheochromocytomas can often be as variable as its symptomology. The purpose of this investigation is to evaluate the differences in the clinical features, the biochemical values, and their relationship to the tumor size .

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