Publications by authors named "Andrea De Palma"

Background: When the histological examination indicates papillary thyroid carcinoma (PTC), there is no unanimity on the need to proceed with completion thyroidectomy (CT). This study aims to assess the histologic parameters that influenced the decision to perform CT.

Materials And Methods: This study included PTC patients who underwent thyroid lobectomy between 2019 and 2022.

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Background: Parathyroid gland (PG) surgery is often challenging due to the small size and indistinct nature of these glands. The introduction of intraoperative near-infrared autofluorescence (NIRAF) has shown promise in localizing parathyroid tissue. However, the NIRAF features of parathyroid adenomas remain unclear.

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Purpose: Assessing vocal cord mobility is crucial for patients undergoing thyroid surgery. We aimed to evaluate the feasibility and efficacy of surgeon-performed transcutaneous laryngeal ultrasound (TLUS) compared to flexible nasolaryngoscopy.

Method: From February 2022 to December 2022, we conducted a prospective observational study on patients scheduled for total thyroidectomy at our Institution.

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Introduction: Goiter is a common problem in clinical practice, representing a large part of clinical evaluations for thyroid disease. It tends to grow slowly and progressively over several years, eventually occupying the thoracic inlet with its lower portion, defining the situation known as retrosternal goiter. Total thyroidectomy is a standardized procedure that represents the treatment of choice for all retrosternal goiters, but when is performed for such disease, a higher risk of postoperative morbidity is variously reported in the literature.

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Background: The use of robot-assisted transaxillary thyroidectomy (RATT) has rapidly spread in the last 2 decades, although it is mostly limited to Asian countries.

Method: We retrospectively enroled all patients with histologic diagnoses of thyroid cancer who underwent RATT at the University Hospital of Pisa from May 2012 to September 2020.

Results: The study included 242 patients; 128 (47%) underwent total thyroidectomy and 114 (53%) underwent thyroid lobectomy, among which 28 patients (24.

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Article Synopsis
  • Doctors in Asia often use robots to help with thyroid surgery, but it's still new in Western countries.
  • A study looked at how long it takes for a doctor with no robot experience to get good at this type of surgery in Europe, tracking over 583 patients.
  • It found that the doctor needed to perform 66 surgeries to get better at thyroid lobectomy and 56 surgeries for total thyroidectomy, with some factors helping to make the surgery faster.
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In 2016, the American Thyroid Association published a statement on remote-access thyroid surgery claiming that it should be reserved to patients with thyroid nodule ≤ 3 cm, thyroid lobe < 6 cm and without thyroiditis. We retrospectively enrolled all patients who underwent robotic transaxillary thyroidectomy between February 2012 and March 2022. We compared surgical outcomes between patients who presented a thyroid gland with a nodule ≤ 3 cm, thyroid lobe < 6 cm and without thyroiditis (Group A) and patients without these features (Group B).

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Purpose: With treatment, chronic myeloid leukemia (CML) has a favorable prognosis, however, individuals with CML experience impairment to their quality of life (QoL). The aim of this study was to examine the perspectives and experiences of individuals with CML and to understand their challenges communicating with their CML physician.

Patients And Methods: An online survey in adults with CML (n=100) in the US and Canada assessed QoL, patient-provider relationships, treatment satisfaction, and understanding of CML and treatment goals via the MD Anderson Symptom Inventory, the Cancer Therapy Satisfaction Questionnaire and de novo survey questions.

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Article Synopsis
  • Robot-assisted trans-axillary thyroidectomy is a new surgery method that helps remove the thyroid gland safely!*
  • A study looked at complications from this surgery in many patients, finding 31 issues out of 540 patients (which is about 5.7%). *
  • Most complications were common ones like nerve damage and bleeding, but there were also some rare issues; overall, this surgery is considered safe when done by skilled doctors in good hospitals!*
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Article Synopsis
  • Bile duct injury (BDI) is a serious complication following cholecystectomy, with incidences ranging from 0.4% to 1.5%, potentially leading to significant long-term health issues for patients.
  • Early recognition of BDIs, whether during surgery or soon after, is crucial for effective treatment, as delayed diagnoses can complicate management and outcomes.
  • The 2020 World Society of Emergency Surgery (WSES) guidelines provide evidence-based recommendations on preventing, diagnosing, and managing BDIs, covering risk reduction strategies, classification, intraoperative management, and postoperative care.
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Over the past few years, the open abdomen (OA) as a part of Damage Control Surgery (DCS) has been introduced as a surgical strategy with the intent to reduce the mortality of patients with severe abdominal sepsis. Aims of our study were to analyze the OA effects on patients with abdominal sepsis and identify predictive factors of mortality. Patients admitted to our institution with abdominal sepsis requiring OA from 2010 to 2019 were retrospectively analyzed.

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Background: Cystic pancreatic lesions (CPLs) are being identified increasingly, and some benefit from surgical treatment. With the increasing use of robotic-assisted surgery (RAS) for neoplasms of the pancreas, the aim of the present comparative study is to establish whether the RAS offered any advantages over conventional open surgery (OS) in the management of CPLs.

Patients And Methods: Twenty-seven out of 37 robot-assisted left-sided pancreatectomy (LSP) performed between January 2010 and April 2017 were carried out for CPLs.

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