The field of thyroid and parathyroid surgery has recently undergone significant changes; thyroid cancer incidence has increased dramatically over the last several decades, technologic advances have been achieved in molecular analysis of patients and the American Thyroid Association has published its new set of medical and surgical thyroid nodule and thyroid cancer guidelines. There is a tremendous new data set that is important to convey to medical endocrinologists and thyroid and parathyroid surgeons.
This course is a 2-day course about surgery of the thyroid and parathyroid glands, which has been offered since 1996. Preoperative workup of both thyroid and parathyroid surgical disease will be discussed, with an emphasis on fine needle aspiration and preoperative parathyroid localization imaging options. Surgical techniques will be reviewed (recurrent laryngeal nerve monitoring, parathyroid identification and preservation, intraoperative PTH analysis and new surgical approaches) and minimally invasive surgical techniques will be discussed. Molecular genetic analysis for differentiated and medullary thyroid carcinoma and advances in oncogene research will also be presented. Surgical philosophy regarding bilateral thyroid surgery, its risks, surgical treatment of the neck, and surgical treatment of invasive tracheal disease will be presented, and we will also review recognition and treatment of postoperative complications along with new advances in their treatment. A panel discussion will focus on difficult cases with a focus on avoidance and early recognition of surgical complications, which will include audience participation.