Full Description
This handy book offers a complete overview of current minimally invasive techniques for the management of endocrine diseases of the neck, reflecting how, in the past few years, the development of various ultrasound-guided procedures and endoscopic/video-assisted surgical techniques has changed the approach to thyroid and parathyroid diseases. The book opens by describing the main diagnostic tools for thyroid, parathyroid and cervical lymph nodes, focusing especially on the new technologies for tissue characterization. The different minimally invasive treatment procedures involving either a percutaneous approach (ethanol injection, laser thermal ablation, radiofrequency thermal ablation, high-intensity focused ultrasound) or minimally invasive surgery are then described in detail.
The volume is intended for all clinicians and surgeons with an interest in the field of endocrinology and neck surgery. It provides a synthetic but clear description of the various available techniques from a technical point of view and discusses the main issues concerning each of them, permitting comparative evaluation in order to identify the best option in a particular case. It also reports the evidence available in the current literature.
Contents
Part I Ultrasound Imaging: 1 Ultrasound Features of Thyroid, Parathyroid, Neck Lymph Nodes: Normal and Pathologic Pattern.- 2 Fine needle aspiration biopsy. - 3 Cytology of Thyroid Lesions.- 4 Molecular Markers in Thyroid Fine Needle Aspiration Biopsies. Part II Ultrasound-guided Interventional Techniques: 5 Percutaneous Ethanol Injection for the management of Thyroid Lesions.- 6 Percutaneous Laser Thermal Ablation (LAT).-7 Percutaneous Radiofrequency Thermal Ablation (RFA).- 8 High-intensity Focused Ultrasound Ablation (HI-FU) in Endocrine Neck Diseases.- 9 Mini-invasive Techniques for the Treatment of Thyroid Nodules: critical issues.- Part III Minimally Invasive Surgical Techniques: 10 Minimally Invasive Video-Assisted Thyroidectomy (MIVAT).- 11 Locoregional anesthesia in thyroid and parathyroid surgery.- 12 Robotic Thyroidectomy.- 13 Minimally Invasive Video-Assisted Parathyroidectomy (MIVAP).- 14 Endoscopic Parathyroidectomy.- 15Minimally Invasive Video-Assisted Neck Dissection.- 16 Minimally Invasive Surgical Techniques: Critical Appraisal and Future Perspectives.- Part IV Intraoperative Adjuncts: 17 EBLSN Intraoperative Nerve Monitoring.- 18 Recurrent Laryngeal Nerve Monitoring.- 19 Hemostatic device.- 20 Hemostatic agents.- 21 Critical Appraisal of Intraoperative adjuncts.- Part V: Key-Points.- 22 How to Avoid and Manage Post-operative Complications.- 23 Peri-Operative Medical Treatment.- 24 Patient Counseling and Patients Involvement in Health Policy.
