Explore the latest in endocrine surgery from The JAMA Network, including recent advances in surgical techniques and approaches to thyroid and parathyroid disorders.
This study compares the safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach with those of open thyroidectomy.
This cohort study examines the probability, rate, and magnitude of tumor growth in patients with papillary thyroid cancer during active surveillance.
This study of patients with primary hyperparathyroidism characterizes factors associated with missed parathyroid lesions on preoperative 4-dimensional computed tomographic scans and investigates patterns of commonly observed errors.
This study examines the association between surgeon volume and 30-day rates of complications, mortality, and postdischarge utilization among patients undergoing parathyroidectomy.
A 29-year-old woman with chronic paroxysmal palpitations, flushing, paleness, and diaphoresis had a blood pressure of 112/74 mm Hg, a heart rate of 82 beats/min, normal physical examination, and normal plasma metanephrines with elevated normetanephrines. How do you interpret the results?
This cohort study compares the incidence of symptomatic hypocalcemia following administration of calcium and calcitriol supplementation given preoperatively and postoperatively vs postoperative therapy alone in patients undergoing total thyroidectomy.
This study analyses the association of otolaryngology duty hour restrictions with surgery-specific outcomes, including complications following thyroid and parathyroid procedures performed before and after duty hour reform.
This case series study examines the proportion of a hyperfunctional parathyroid gland that must be evaluated with the gamma probe to satisfy the Norman 20% rule.
This cost-utility analysis evaluates the cost-effectiveness of intraoperative monitoring of the recurrent laryngeal nerve vs visual identification alone in the setting of total thyroidectomy.
A man had an elevated serum ionized calcium level; joint, back, and abdominal pain; constipation; fatigue; and depression; he underwent a parathyroid exploration and excision of a soft, ovoid tissue, believed to be a slightly enlarged left inferior parathyroid gland. What is your diagnosis?
This Special Communication describes evidence-based guidelines to enhance the appropriate, safe, and effective practice of parathyroidectomy.
This cohort study compares the incidence of recurrent laryngeal nerve injury in total thyroidectomy patients who had intraoperative neuromonitoring vs those who had nerve visualization alone.
This narrative review summarizes recent advances in the management of localized pancreatic cancer, including the rationale for neoadjuvant treatment sequencing and new diagnostic biomarkers in development.
This case series describes outcomes for patients with borderline resectable pancreatic cancer treated with preoperative chemotherapy, and the details of how collaborating Oncology Study Groups coordinated and conducted the study.
A man aged 54 years presented to the emergency department with a 1-month history of generalized weakness and bilateral lower extremity swelling that had progressed to his upper abdomen. What is your diagnosis?