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Minimal access techniques for thyroid cancer have been carefully developed for a selected subset of thyroid pathologies. Consideration for minimal access surgery includes a detailed risk/benefit discussion, a thoughtful patient selection, and an intimate understanding of specific instrumentation and operative challenges. Fortunately, a decade of evidence is available to help guide the surgeon and...
With an estimated incidence of 0.015 per 100,000 people and an estimated prevalence of 0.005% in the USA, parathyroid carcinoma is one of the rarest of all human cancers. The etiology of parathyroid carcinoma is unknown. Parathyroid carcinomas are typically slow-growing tumors. They have a tendency to recur locally and metastasis occurs late. Ninety-five percent of parathyroid carcinomas are functioning...
Laparoscopy for pancreatic cancer, either for staging initially or for resection as part of a treatment plan, has gained more and more acceptance in the surgical community over the past few years. Using laparoscopy and diagnosing extensive disease, we are able to spare far more patients an unnecessary laparotomy than we were in the past. This chapter describes workup, sheds some light on still controversial...
Minimally invasive approaches to pancreatic resection are now feasible. Laparoscopic pancreaticoduodenectomy (LPD) is perhaps the most complex of abdominal operations and is only recently gaining the interest of the medical community. This chapter presents the rational for LPD, its history, technique, and outcomes. The lack of large series or controlled trials limits our current assessment of this...
This chapter provides an overview of minimally invasive surgical techniques employed for extirpation of the adrenal gland, gives an overview to the main surgical indications for adrenalectomy, summarizes the clinical approach to evaluating incidental adrenal masses, and reviews perioperative considerations in patients with adrenal disease.
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