At the Mediterranean Hospital, a daily clinic for Endocrine and Cervical Gland Surgery is operational.
The field focuses on surgical conditions of the thyroid gland, parathyroid glands, and cervical lymph nodes.
Thyroid Gland
The thyroid is an endocrine organ located in the anterior cervical region, contributing to the body’s homeostasis through hormone production.
The procedure of choice is total thyroidectomy using a neuromonitor, potentially accompanied by central or lateral cervical lymph node dissection if infiltrated cervical lymph nodes are present. Central cervical dissection is also performed when there is suspected disease in the regional central cervical lymph nodes.
Lobectomy, which involves removing one lobe of the thyroid along with the isthmus, is performed in patients with solitary thyroid nodules, often functional (toxic adenomas).
Surgical Indications
Absolute indications for surgery include all malignant thyroid tumors diagnosed preoperatively via fine-needle aspiration (FNA) biopsy, as well as nodules with clinical or imaging findings suspicious for malignancy.
Other indications include toxic adenoma and Graves’ disease that is resistant to pharmacological treatment.
Surgery is also indicated for large multinodular goiters causing tracheal compression.
Parathyroid Glands
These glands are located in the cervical area, closely associated with the thyroid gland, and regulate blood calcium levels via the secretion of parathyroid hormone (PTH).
Surgical Indications
Surgery is indicated for patients with primary hyperparathyroidism (parathyroid adenoma).
Parathyroidectomy can be minimally invasive in cases of localized disease with a solitary adenoma or involve bilateral cervical exploration for patients with multiple adenomas or diffuse hyperplasia of the parathyroid glands.