Table Of ContentThyroid Surgery
Thyroid Surgery
Principles and Practice
Edited by
Madan Laxman Kapre
First edition published 2020
by CRC Press
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Library of Congress Cataloging-in-Publication Data
Names: Kapre, Madan, editor.
Title: Thyroid surgery : principles and practice / edited by Madan Kapre.
Other titles: Thyroid surgery (Kapre)
Description: First edition. | Boca Raton : CRC Press, 2020. | Includes bibliographical references and index. |
Summary: “This book will bridge a gap between the huge platform of literature available on the subject of thyroid
surgery and the pratical working reality. The pearls in techniques and surgical procedures will be exhaustively
detailed with authors’ individual experience enriched with quality photographs”-- Provided by publisher.
Identifiers: LCCN 2020006268 (print) | LCCN 2020006269 (ebook) | ISBN 9781138483781 (hbk) | ISBN 9780429086076 (ebk)
Subjects: MESH: Thyroid Diseases--surgery | Thyroid Gland--surgery | Thyroid Neoplasms--surgery | Thyroidectomy
Classification: LCC RD599.5.T46 (print) | LCC RD599.5.T46 (ebook) | NLM WK 280 | DDC 617.5/39--dc23
LC record available at https://lccn.loc.gov/2020006268
LC ebook record available at https://lccn.loc.gov/2020006269
ISBN: 9781138483781 (hbk)
ISBN: 9780429086076 (ebk)
Typeset in Minion
by Nova Techset Private Limited, Bengaluru & Chennai, India
CONTENTS
Preface vii
Acknowledgments ix
Editor xi
Contributors xiii
Introduction xvii
CHAPTER 1 HISTORY AND EVOLUTION OF THYROID SURGERY 1
Cheerag Patel and Subhaschandra Shetty
CHAPTER 2 SURGICAL ANATOMY OF THE THYROID 7
Ashutosh Mangalgiri and Deven Mahore
CHAPTER 3 CLINICAL ASSESSMENT OF THE THYROID NODULE 15
Madan Laxman Kapre, Shripal Jani, and Priya Dubey
CHAPTER 4 IMAGING OF THE THYROID 21
Alka Ashmita Singhal
CHAPTER 5 PATHOLOGY OF THE THYROID 45
R. Ravi
CHAPTER 6 MEDICAL MANAGEMENT OF THYROID DISORDERS 51
Himanshu Patil and Shailesh Pitale
CHAPTER 7 ANESTHESIA FOR THYROID SURGERY 57
Vidula Kapre, Shubhada Deshmukh, Pratibha Deshmukh, Meghna Sarode, and Rajashree Chaudhary
CHAPTER 8 SAFE THYROIDECTOMY 67
Madan Laxman Kapre, Sankar Viswanath, Rajendra Deshmukh, and Neeti Kapre Gupta
CHAPTER 9 SURGERY FOR MULTINODULAR GOITER 75
Madan Laxman Kapre, Sanoop Elambassery, Neeti Kapre Gupta, M. Abdul Amjad Khan, and Gauri Kapre Vaidya
CHAPTER 10 MANAGEMENT OF RETROSTERNAL GOITER 79
Belayat Hossain Siddiquee
CHAPTER 11 REMOTE ACCESS ENDOSCOPIC AND ROBOTIC THYROIDECTOMY 83
Kyung Tae
CHAPTER 12 ROBOTIC THYROIDECTOMY 91
Neil S. Tolley and Christian Camenzuli
CHAPTER 13 INTRA-OPERATIVE NEURAL MONITORING 97
Rahul Modi
v
CHAPTER 14 SURGICAL MANAGEMENT OF DIFFERENTIATED THYROID CANCERS 105
Anil D’cruz and Richa Vaish
CHAPTER 15 MANAGEMENT OF NODAL METASTASIS IN THYROID CANCER 113
Neeti Kapre Gupta, Ashok Shaha, Madan Laxman Kapre, Nirmala Thakkar, and Harsh Karan Gupta
CHAPTER 16 COMPLICATIONS OF THYROID SURGERY 119
Gregory W. Randolph, Dipti Kamani, Cristian Slough, and Selen Soylu
CHAPTER 17 LOCALLY ADVANCED THYROID CANCER 127
Amit Agarwal and Roma Pradhan
CHAPTER 18 SURGICAL MANAGEMENT OF MEDULLARY THYROID CANCERS 135
Anuja Deshmukh and Anand Thomas
CHAPTER 19 SURGICAL MANAGEMENT OF ANAPLASTIC THYROID CANCERS 147
Deepa Nair and K.S. Rathan Shetty
CHAPTER 20 POST-TREATMENT SURVEILLANCE OF THYROID CANCER 151
Abhishek Vaidya
CHAPTER 21 A PPLICATIONS OF RADIOISOTOPES IN THE DIAGNOSIS AND
TREATMENT OF THYROID DISORDERS 161
Chandrasekhar Bal, Meghana Prabhu, Dhritiman Chakraborty, K. Sreenivasa Reddy, and Saurabh Arora
CHAPTER 22 SYSTEMIC THERAPY (TARGETED THERAPY AND IMMUNOTHERAPY)
FOR THYROID CANCERS 173
Abhishek Vaidya and Amol Dongre
CHAPTER 23 SURGICAL MANAGEMENT OF PARATHYROID DISORDERS 179
Neeti Kapre Gupta, Gregory W. Randolph, and Dipti Kamani
CHAPTER 24 PEDIATRIC THYROID SURGERY 187
Rajendra Saoji
Index 191
vi Contents
PREFACE
The seeds of this book were sown by the students getting off the bus It was then that, quite unexpectedly, Miss Shivangi from Taylor &
returning from their annual Thyroid Surgical Camp of Chikhaldara, Francis approached us and very kindly offered to take the thread of
Melghat. Armed with the art and craft of thyroid surgery, they this new book forward.
wanted more insight into the science of it. I soon realized the magnitude of the task. Some unforeseen health
Our first book Atlas of Thyroid Surgery answered the question of issues almost stalled the process, and I am grateful to my publishers
“how?” but there were more questions, like “when?,” “why?,” and for graciously bearing with the delay.
“how much?” that remained unanswered. With this book we have endeavored to bring forth a blend of
Thyroid surgery has undergone several paradigm shifts, from being surgical rationale, multidisciplinary decision-making, basic surgical
a life-threatening exercise to a minimally invasive procedure. More principles, and techniques for both the novice and the expert alike.
than any other surgery, it highlights the need to respect tissues, We have tried to include authors from across the globe to present a
nerves, and vessels. Skill, precision, and the fine line between holistic viewpoint on thyroid management.
aggression and conservatism in surgery is nowhere as important as
Thyroid surgery can be performed with some grams of steel but
it is in the management of thyroid disease. To do justice to all this
needs nerves of steel.
was well beyond the scope of an atlas or a workshop.
vii
ACKNOWLEDGMENTS
What worth is your knowledge if it does not dispel the darkness how difficult it must have been for them to draw that extra ounce of
of ignorance? What worth is your skill if it does not make others energy and precious time to painstakingly write their chapters. I am
skillful? What worth is a teacher’s greatness if their students do not grateful to all of them.
become greater than themselves? And I wish to express my gratitude to my colleagues in my own
I have been fortunate to find worthy colleagues, “Men and Women institute, fellows who worked with us, and the secretarial backup
of Wisdom,” and worthy publishers, CRC Press, Taylor & Francis I received. Running the risk of missing a few names inadvertently
Group, who came together to disseminate the wisdom, skill, and and asking for their pardon, I am grateful to my fellows who have
great clinical prowess in the field of thyroid surgery. been burdened by tasks beyond their working hours. Dr. Neeti
has been great in gathering bits and pieces provided by Amjad,
First, I wish to thank Miss Shivangi Pramanik and Miss Himani
Sankar, Sanoop, Shripal, and Priya. She has been my real support
Dwivedi who had the faith and patience to bear with us, the authors
in compiling this book.
and the editor. It was their disciplined approach that laid the
foundation for this book, given to us by the publisher CRC Press, Finally, I am in great debt to my family, my wife Vidula, my
Taylor & Francis Group. daughters Neeti and Gauri, and my sons-in-law Abhishek and
Harsh for their unconditional support and sufferings in the making
All my colleague authors who penned the chapters are the worthy
of this book.
men and women of wisdom. I am appreciative and conscious of
ix
