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This open access book on thyroid surgery has been authored by an international team of contributors who present a comprehensive understanding of both benign and malignant thyroid disorders. It also outlines an interdisciplinary approach to their surgical management that reflects the latest changes in surgical techniques. The book reviews the most up-to-date literature available on thyroid surgery and presents it in a concise manner for use in clinical practice. For each thyroid disorder, the book covers etiology, clinical manifestations, diagnostic and localization procedures, as well as surgical and non-surgical treatment options. The operating techniques and postoperative management are explained in detail, while the benefits, risks, controversial issues, and cost-effectiveness of each approach are reviewed. To aid in the understanding of complex information, the book features drawings and photographs. Written in an easy-to-understand style, the book includes tablesand diagrams that highlight best practices and current guidelines, as well as self-assessment material at the end of each section. It serves as an ideal resource for all levels of surgical experience, from a practical reference for endocrine surgeons to a perfect companion for students and residents.

A Clinical Guide to Thyroidectomies is a comprehensive compilation that gives extensive detail on thyroid surgery, with examples illustrated by photographs and artwork. It aims to help surgeons practice safe and adequate thyroid surgery and provides updates on new technologies and techniques, such as robotic and remote site thyroidectomy. Thyroid surgery is practiced not only by dedicated endocrine surgeons, but also by general surgeons, surgical oncologists, and head and neck otolaryngologists. This book will be useful for practitioners in all of these disciplines.

This book will bridge a gap between the huge platform of literature available about thyroid surgery and the practical working reality. The pearls in techniques and surgical procedures will be exhaustively detailed with authors'individual experience enriched with quality photographs. It covers management of large/massive multinodular goiters which are the hall mark of Indian Thyroids. However, the emphasis will be more on applying this knowledge to a given patient and would largely revolve around this theme. It aims to provide a take home message in controversial areas and is a ready reference to all interested in learning science and craftsmanship of thyroid surgery. Key Features Covers all topics comprehensively with a practical approach Inclusion of guidelines adds value to the content Discusses all investigatory modalities Consists of useful surgical tips with exhaustive operating photography Features large anatomical illustrations with cadaveric dissections

This book provides a comprehensive overview of difficult decisions encountered within endocrine surgery. Brief uniformly formatted chapters are devoted to answering specific questions relevant to a range of topics across endocrine surgery based upon detailed analysis of available evidence.Topics covered include clinical decision analysis, decision making from the surgeon's and patient's perspective, using surgery as opposed to observation for papillary thyroid microcarcinoma, and the use of parathyroid cryopreservation. Difficult Decisions in Endocrine Surgery: An Evidence-Based Approach features a wealth of information on ideal approaches for making clinical decisions in selected clinical situations. It is an important and timely resource for all endocrine surgical trainees, fellows, practitioners, educators, and healthcare providers involved in the management of these patients.

In organizing the second edition of this renowned Handbook, Dr. Neoptolemos and his co-editors have produced and updated a revised edition to the distinguished Major Reference Work devoted to pancreatic cancer. Like its preceding edition, the second edition continues to have a widespread appeal among clinicians, pathologists and basic scientists, who are now struggling to understand this complex and rapidly expanding field. Because of the recent and vast growth in both the clinical and scientific research being done in pancreatic cancer, (there is currently an unprecedented investment by academia and industry in this field), each research's knowledge of other specialty areas outside his or her own is often quite limited. The aim of the new edition is to place the tangible advances, including new developments in surgical approaches with regards to resection techniques, the state of laparoscopic approaches, the growing impact of surgical approaches in the management of recurrent pancreatic cancer, controversies in the management of IMPN as the precursor lesion for PDAC and others – readily at hand. The second edition focuses on advances that will not become dated, and the editors have chosen authors, who are the very best in each area.

This book provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians and researchers with an interest in the management of thyroid nodules and cancer, including both surgeons and endocrinologists. The book reviews new data about risk factors for nodular disease and cancer, details the management of toxic and non-toxic benign thyroid nodular disease, discusses controversies in the management of indeterminate thyroid nodules and cancer, and reviews the latest data on use of molecular testing for diagnosis and prognosis. Lastly, the book reviews the management of difficult-to-treat thyroid cancers.Management of Thyroid Nodules and Differentiated Thyroid Cancer: A Practical Guide will serve as a useful resource for physicians and researchers dealing with, and interested in thyroid nodular disease and cancer. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information.

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.

This book encompasses many different diagnoses as well as several specialties of practicing surgeons in the United States. Over the last ten years many advances have been made in preoperative assessment including imaging and diagnostic techniques, operative approaches including “minimally invasive” and robotic surgery, and post operative care. Controversies in Thyroid Surgery explores some of the controversies that arise as the result of these new findings and applications. The book is divided into the two categories of benign diagnosis and cancer topics. Both of these areas lend themselves to separate analysis of specific problems in the areas mentioned above. The text reviews recent data about advances in diagnostic techniques as well as outcomes with specific regards to the newer operative techniques. The textbook will serve as a resource for medical and surgical colleagues involved in the treatment of a wide variety of thyroid diseases. Authors that are experts in their field andhave published extensively provide balanced and non-biased views of topics that are admittedly controversial. Controversies in Thyroid Surgery will be of great value and utility to practicing endocrinologists, general surgeons and otolaryngologists.

Le volume 1 du Traité de chirurgie endocrinienne constitue une somme d'informations et de connaissances unique dans le monde francophone sur les pathologies endocriniennes cervicales thyroïdiennes, parathyroïdiennes et sur les néoplasies endocriniennes multiples. Actualisé des recommandations et consensus les plus récents, cet outil permet de trouver facilement les réponses à un vaste champ de questions : anatomie, physiologie, explorations biologiques et d'imagerie, sémiologie, traitements médicaux, et bien entendu, techniques chirurgicales. Grâce à son réseau mondial d'experts médecins et chirurgiens, l'Association Francophone de Chirurgie Endocrinienne (AFCE) a permis de réunir les meilleurs spécialistes dans leurs domaines. Cet ouvrage, de l'étudiant au praticien confirmé, constituera un élément indispensable dans l'apprentissage, l'enseignement et la mise à jour des connaissances des pathologies chirurgicales endocriniennes.

This book provides a broad overview of pancreatic neuroendocrine neoplasms, focusing on the most important developments in the technologies used to diagnose, classify and treat them. After a historical and epidemiological overview, the opening chapters examine the various diagnostic approaches (radiology, nuclear medicine, endocrinology, cytology and immunohistochemistry) and discuss the WHO classification. The functioning and nonfunctioning tumor types are then fully discussed, covering epidemiology, diagnosis, morphology and prognosis of each entity. Careful consideration is given to the molecular features that have contributed in understanding the pathogenesis of such neoplasms and may have potential implications for the diagnostic and therapeutic pathways. The final chapters consider the surgical and medical approaches to therapy, providing a practical and analytical overview of the available options. The book is written by a multidisciplinary team of worldwide-recognized experts and is addressed to radiologists, nuclear medicine physicians, endocrinologists, pathologists, surgeons and oncologists.

“International Practices in Pancreatic Surgery“ describes in great detail general and specific technical aspects of the standard resection procedures of the pancreas. Each surgical step during the pancreatic operation is precisely outlined and accompanied by drawings and photographs. The main chapters on pancreatic carcinoma, chronic and acute pancreatitis are written by the editors. An international faculty complements the texts by describing their own personal techniques. This concept offers the greatest possible overview of the techniques used by experienced surgeons.

Do you regularly perform thyroid surgery? Are you looking for a tool that guides you through best surgical practice and successful avoidance of complications? Whether you are an endocrine surgeon, general surgeon or otolaryngologist, you will find this highly practical, full colour multimedia tool an essential guide to help perfect your surgical techniques and overcome the various complications that can arise when performing surgery of the thyroid. Packed full of useful tips and tricks, and well illustrated with over 130 figures, it covers the following key areas: • Best practices in thyroid surgery • Intraoperative complications – both common and rare cases • Postoperative complications – including those needing urgent treatment • Complications following minimally invasive and robotic techniques • Thyroid hormone replacement and quality of life after thyroid surgery. Included also are 20 high resolution, step-by-step surgical videos of thyroid surgery, giving you outstanding visual coverage of the experts in action. Edited by an expert international editor team from the US and Europe, Thyroid Surgery: Preventing and Managing Complications perfectly meets all of your clinical needs.

In this unique volume, leading international experts share their experiences in the management of head and neck tumors, providing a guidebook for all surgeons dealing with head and neck neoplasms. Each chapter offers a concise description of useful'pearls'and dangerous'pitfalls'which must be avoided. Contributions cover topics from thyroid glands, neck metastases, and oral tumors to laryngeal, pharyngeal, and nasopharyngeal tumors, as well as salivary gland tumors, skull base tumors, and reconstruction surgery. In addition to frequent diseases which are encountered in everyday practice, some new therapeutic topics such as video-assisted thyroidectomy, robotic surgery, and management of the neck after organ preservation treatment are discussed. The 2nd edition has been extended by topical chapters of major practical interest including the latest findings and techniques. The new chapters are clearly indicated and can be recognized easily. Head and neck surgeons, otolaryngologists, neurosurgeons, maxillofacial surgeons, plastic surgeons, radiation and clinical oncologists, and general surgeons, as well as students and residents interested in the management of head and neck tumors, will find this publication an indispensable manual.

This book describes in detail the various techniques of minimally invasive thyroidectomy that have emerged in recent years and presents the new supportive equipment, including intraoperative monitoring and energy devices. In addition, the basic preoperative techniques that are a prerequisite to successful thyroidectomy are covered, and individual chapters are devoted to complications, outcomes, and post-thyroidectomy quality of life. Important related topics are also discussed, including guidelines for managing papillary and medullary thyroid cancer and the surgical management of metastatic lymph nodes. Both the editors and the authors are internationally renowned experts, and they include the founders of several of the techniques described. The up-to-date text is supplemented by many color pictures and medical illustrations, making the book very user-friendly and ideal for the busy surgeon or endocrinologist who is interested in the management of thyroid diseases.

Endocrine Pathology: Differential Diagnosis and Molecular Advances, Second Edition provides detailed coverage of endocrine pathology with extensive discussion of the differential diagnosis as well as presentation of molecular pathobiology of the major endocrine organs. Revised and expanded from the first edition, each chapter, written by leaders in their respective field, has been updated with the latest advances that are transforming the field of endocrine pathology. Richly illustrated with color photomicrographs, useful diagrams and line drawings, each chapter includes differential diagnosis of common and uncommon lesions as well as material on molecular developments, with emphasis on the molecular findings that are most helpful in the diagnosis of specific disorders. Endocrine Pathology: Differential Diagnosis and Molecular Advances, Second Edition, provides a useful and well-organized resource designed not only for the endocrine pathologist and the general surgical pathologist, but also for the clinical endocrinologist and the endocrine surgeon.

Das Buch stellt die Schilddrüsenchirurgie anhand der Erfahrungswerte von über 30.000 Operationen im Kaiserin Elisabeth-Spital der Stadt Wien dar. Es vermittelt Einblick in die Entstehung des Zentrums, den Gestaltenwandel der Diagnosen und OP-Verfahren sowie die schrittweise Steigerung der Ergebnisqualität einer unterschätzten „Routineoperation“. 186 Abbildungen zeigen Diagnoseverfahren und operative Situationen, ergänzt durch Skizzen und Fallbeispiele. Anleitungen zur modernen Schilddrüsenchirurgie mit vielen Tipps des erfahrenen Autors sowie Standards (SOP) und Leitlinien komplettieren die Orientierungshilfe. Grafiken und Tabellen veranschaulichen die präzise Definierbarkeit von Qualitätsindikatoren und -messung, umfassende Daten sind Grundlage eines ausführlichen Benchmarkings. Das Werk vermittelt wertvolle Anregungen für Ärzte und Führungskräfte im Gesundheitswesen - in Patientenversorgung, Qualitätsarbeit, Ökonomie, Politik - die im chirurgischen Bereich an Qualitätsmanagement interessiert sind.

Hepato-pancreato-biliary (HPB) surgery is now firmly established within the repertoire of modern general surgery. Indeed, in many major tertiary centres there are now specific teams for both pancreatic and liver surgery. However, in most hospitals outside these major centres the day-to-day management and decision-making for patients with these diso

Este manual parte de la iniciativa de un colectivo particularmente dedicado al área de Nutrición y uno de los grupos de trabajo más activos dentro de la Sociedad Española de Endocrinología y Nutrición. Con este manual se pretende que a diferencia de los tratados más convencionales, facilite y permita dar al momento la mejor respuesta a las diferentes situaciones con las que se enfrenta día a día los profesionales que atienden a los pacientes con problemas nutricionales, dentro y fuera del hospital. INDICE RESUMIDO: Dietoterapia. Valoración del estado nutricional. Nutrición equilibrada. Alteraciones de la energía. Tratamiento dietético de la obesidad. Tratamiento farmacológico de la obesidad. Hidratos de carbono. Diabetes Mellitus Proteínas y aminoácidos. Enfermedad celiaca. Lípidos. Aspectos nutricionales en la hiperlipemia y riesgo cardiovascular. Epilepsia Metabolismo. Metabolismo hidrosalino. Anemia y hemocromatosis. Patologías específicas. Diarreas y estreñimiento. Nutrición y SIDA. Dietas en situaciones especiales. Dietas en las distintas etapas de la vida. Nutrición artificial. Nutrición enteral y parentela. Nutrición pediátrica

are new to this edition. The authors provide not only the The second edition of Thyroid Cancer: A Comp- most current review of their respective areas, but also their hensive Guide to Clinical Management marks the pub- own recommendations and approach. The reader is fo- cation of a markedly updated and expanded volume that warned that in many cases these approaches, albeit rooted covers all aspects of the etiology, pathogenesis, diag- sis, initial treatment, and long-term management of all in available data, may be empiric rather than based varieties of thyroid cancer. Like the first edition, it will upon clear-cut results of well-controlled clinical t- als. Nevertheless, controversial issues are examined serve as a valuable reference source for pathologists, and evidence-based recommendations are presented endocrine surgeons, endocrinologists, nuclear medicine when available. physicians, and oncologists. However, the biggest There are updated chapters on our current state change is that the second edition is significantly enlarged and expanded to encompass important and extensive of knowledge of the molecular changes in thyroid treatments of more topics related to nuclear medicine. cancer, molecular markers, and how targeted the- pies are being developed. New therapeutic trials of Nuclear medicine physicians and procedures play a key redifferentiation agents to restore the sodium iodide role in the management of thyroid cancer patients and in symporter when lacking and more traditional che- retrospect, a comprehensive discussion of topics related therapies are discussed, with referral sources listed for to that field was somewhat lacking in the first edition.

Clearly structured text, presented with the corresponding illustrations on a two-page spread Compiled by a team of authors with many years'experience in the field of diseases of the pancreas, this book is an ideal combination of evidence-based literature and the authors'expertise. An interdisciplinary approach to the basis, diagnosis and treatment of diseases of the pancreas has been chosen, and the succinct and clearly structured text is consistently linked with the corresponding illustrations on a two-page spread. The division into three major parts (acute pancreatitis, chronic pancreatitis and pancreatic tumors) further enhances the clarity of the text. In the chapter ‘Acute pancreatitis', along with the new markers of necrosis, several major topics of imaging via nuclear magnetic resonance and the different randomized controlled studies addressing treatment are covered. In the section on chronic pancreatitis, clinical aspects, pancreatic function and imaging, and recent clinical studies receive special attention. Finally, in the section on tumors of the pancreas, particular emphasis has been placed on imaging with the newer techniques of spiral computed tomography and ultra-rapid magnetic resonance imaging in the ‘all-in-one'technique. Furthermore, molecular biology, which in the future will become increasingly important, and the concept of gene polymorphisms underlying many diseases have received special attention. This clearly laid out and easily readable encyclopedia is aimed particularly at general practitioners and students in their clinical years, as well as at specialists who desire a more in-depth knowledge of the pancreas, such as internists, gastroenterologists, surgeons, radiologists, oncologists, pathologists and pediatricians. But others will also find this to be a comprehensive reference book on the subject.

Diese zweite, vollständig überarbeitete Auflage trägt dem seit der Erstauflage 1996 gewonnenen umfangreichen neuen Wissen Rechnung. Von einem Autorenteam verfasst, das über eigene langjährige Erfahrungen im Bereich der Pankreaserkrankungen verfügt, stellt sie eine ideale Kombination von evidenzbasierter Literatur und Expertise der Autoren dar. Der interdisziplinäre Zugang zu Grundlagen, Diagnostik und Therapie von Erkrankungen des Pankreas wurde beibehalten, ebenso wie das Konzept einer konsequenten Verknüpfung der knapp gehaltenen und klar strukturierten Texte mit den entsprechenden Bildinhalten auf einer Doppelseite. Im Kapitel «Akute Pankreatitis» wurde neben neuen Nekrosemarkern vor allem der Bildgebung mittels Kernspintomographie und den verschiedenen randomisierten kontrollierten Studien zur Therapie viel Raum gegeben. Bei der chronischen Pankreatitis wurden Ätiologie und Klassifikation überarbeitet, Klinik, Pankreasfunktion und Bildgebung stärker gewichtet sowie neue klinische Studien aufgenommen. Bei den Pankreastumoren schliesslich wurde besonderes Gewicht auf die Bildgebung mit der revolutionären Technik des Spiral-CT und die ultraschnelle Kernspintomographie in der «All-in-one»- Technik gelegt. Zudem wurde der in Zukunft immer wichtiger werdenden Molekularbiologie und den vielen Erkrankungen zugrunde liegenden Genpolymorphismen besondere Aufmerksamkeit geschenkt. Dieses Buch richtet sich ganz besonders an Allgemeinärzte und Studenten in klinischen Semestern, darüber hinaus an Spezialisten mit Wissensbedarf über das Pankreas wie Internisten, Gastroenterologen, Chirurgen, Radiologen, Onkologen, Pathologen und Kinderärzte. Aber nicht nur für sie ist es ein übersichtliches Nachschlagewerk zum Thema.