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Abstract
Purpose  LigaSure is a bipolar diathermy system, which achieves vessel sealing with reduced thermal spread. The device has been used
successfully in abdominal operations and because of its features, it has been applied recently in thyroid surgery to minimize
the risk of complications such as laryngeal nerve palsy and hypocalcemia, and also to reduce the operating time.

Methods  Between June and December 2005, we performed total thyroidectomy for various disorders in 105 patients. We used the LigaSure

Abstract
Purpose  (1) To determine the clinical profile of intrathoracic multinodular goiter (IMG); (2) to evaluate the results of surgery,
and (3) to analyze the incidence of malignancy and its evolution.

Methods  Two hundred and forty-seven operated cases of IMG were reviewed. These cases of IMG had all been diagnosed according to Eschapse’s
definition (>3cm below the sternal manubrium). The morbidity and postoperative evolution were analyzed. A comparative study

Abstract
Purpose  Substernal goiter is defined as a thyroid mass of which more than 50% is located below the thoracic inlet. In this article
we report the diagnosis, symptoms, thyroid function, treatment, and postoperative complications of 59 patients with substernal
goiter.

Methods  Between 1992 and 2005, 59 patients underwent surgery for substernal goiter at our institution. The indications for surgery
were multinodular goiter in 46 cases, follicular adenoma in two cases, and Hashimoto’s thyroiditis in one case. Ten patients

Abstract
Purpose  Total thyroidectomy (TT) with level VI and VII central neck dissection is the initial treatment for medullary thyroid carcinoma
(MTC) without identifiable neck metastasis. Level II to V lateral neck dissection is performed if neck metastasis is present
or suspected. We conducted this study to identify the frequency and clinical determinants of skip neck metastasis in MTC.

Methods  We reviewed the medical records of 32 patients who underwent TT and bilateral neck dissection for MTC. The clinical features

Various physiological processes can cause potentially misleading appearances in radioiodine whole body scans; proper understanding of the causes of these can therefore obviate diagnostic errors. Whole-body radioiodine scintigraphy with I131 or I123 is an accurate form of imaging used for management of differentiated thyroid carcinoma. Following thyroidectomy, any residual thyroid tissue or metastatic disease is ablated with high dose I131 and diagnostic images are acquired, demonstrating residual thyroid tissue and metastatic disease.

Related Articles
[Riedel's thyroiditis: current aspects]
Presse Med. 2008 Jun;37(6 Pt 2):1015-21
Authors: Perimenis P, Marcelli S, Leteurtre E, Vantyghem MC, Wémeau JL

Application of the no-tie technique using the harmonic scalpel is a relatively safe method, even in total thyroidectomy combined with central neck dissection, and it reduces the operating time by simultaneously ligating and cutting the vessels with sufficient hemostasis.Page: 945DOI: 10.1097/SLA.0b013e31816bcd61Authors: Koh, Yoon Woo MD *; Park, Jae Hong MD *; Lee, Seung Won MD *; Choi, Eun Chang MD, PhD + (Source: Annals of Surgery)  

Abstract
Background and aims  Partial thyroidectomy under local anaesthesia was performed in 49 subsequent individuals in the Central African Republic.
Because of the shortage of medical resources, all patients with goitre were scheduled for an operation under local anaesthesia.

Materials and methods  There were no inclusion or exclusion criteria applied for patient selection for the procedure. Before the operation, patients
had received an oral sedation and antibiotic. For infiltration anaesthesia, 1% lignocaine was used.

Abstract
Background and aims  The aim of this study is to analyze our preliminary results from minimally invasive video-assisted thyroidectomy (MIVAT) and
demonstrate the feasibility of MIVAT also in non-referral centers.

Materials and methods  We report our initial experience based on a series of 47 patients selected for MIVAT at General Surgery Department of University
of Trieste during a period from May 2005 to February 2007. The eligibility criteria were rigorously observed. Age, goiter

Horm Metab ResDOI: 10.1055/s-2008-1077051AbstractPreviously, a new procedure for measuring serum TSH receptor autoantibodies (TRAb) was reported in which the autoantibodies inhibit binding of a human monoclonal thyroid stimulating antibody M22 to TSHR-coated ELISA plate wells (TRAb ELISA). The aim of the present study was to evaluate the clinical performance of this assay in comparison to the second generation TRAb assay (TRAb LIA) based on the recombinant human TSH-receptor and chemiluminescence technology (TRAb LIA).