Rethinking Radical Surgery: Lobectomy Matches Total Thyroidectomy Outcomes in Intermediate-Risk PTC with Unilateral N1b Disease

Rethinking Radical Surgery: Lobectomy Matches Total Thyroidectomy Outcomes in Intermediate-Risk PTC with Unilateral N1b Disease

A comprehensive meta-analysis suggests that for intermediate-risk papillary thyroid carcinoma with unilateral lateral lymph node metastasis, lobectomy provides oncological outcomes comparable to total thyroidectomy, challenging the necessity of radical resection and adjuvant radioactive iodine in this cohort.
Fiber-Based Near-Infrared Autofluorescence Enhances Parathyroid Identification in Endocrine Neck Surgery Without Reducing Hypoparathyroidism Risk

Fiber-Based Near-Infrared Autofluorescence Enhances Parathyroid Identification in Endocrine Neck Surgery Without Reducing Hypoparathyroidism Risk

This multicenter randomized clinical trial demonstrates that fiber-based near-infrared autofluorescence (NIRAF) enhances intraoperative parathyroid gland identification during thyroidectomy and bilateral parathyroidectomy without increasing hypoparathyroidism rates or operative time.