Evidence map›Paper›PMID 42791478›Full record

ArticleUpdates in surgery2026

Thyroid surgery in children: a single pediatric center experience.

Giovanni Conzo, Carmine Noviello, Mercedes Romano, Ilaria Cascone, Gaia De Francesco, Giovanni Docimo, Anna Grandone, Alfonso Papparella

Abstract read
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Article in Updates in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Giovanni ConzoDivision of General and Oncological Surgery, Department of Translational Medical Sciences, University of Campania 'Luigi Vanvitelli' Naples Italy, Naples, Italy.
Carmine NovielloPediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. carmine.noviello@unicampania.it.ORCID http://orcid.org/0000-0001-9740-2505
Mercedes RomanoPediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Ilaria CasconePediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gaia De FrancescoPediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Giovanni DocimoDivision of General and Oncological Surgery, Department of Translational Medical Sciences, University of Campania 'Luigi Vanvitelli' Naples Italy, Naples, Italy.
Anna GrandoneDepartment of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli" Largo Madonna delle Grazie, Napoli, 1 80138, Italy.
Alfonso PapparellaPediatric Surgery Unit, Department of Woman, Child, General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing incidence of thyroid disease in children requires appropriate training for pediatric surgeons. The specific characteristics of this age group require a different treatment approach from that used in adults.The authors report their pediatric experience over a 5-year period. For each patient, we analyzed the indication for surgery, type of procedure, postoperative complications, and follow-up, with a mean follow-up of one year. The mean age of the 25 patients treated was 12 years (range, 5-16 years), and the male-to-female ratio was 1:1.27. The most common clinical presentation was asymptomatic neck swelling or an incidental finding of a thyroid nodule, often detected during evaluation for weight loss or follow-up for another condition. All patients with thyroid nodules underwent preoperative fine-needle aspiration, and surgery was indicated in cases of malignancy. Four patients were diagnosed with Graves' disease. Surgical treatment was performed by a pediatric surgeon and a general surgeon. All patients underwent total thyroidectomy, and three underwent lymph node dissection. The mean operative time was 80.7 min (range, 61.0-100.4 min). Histopathological examination of the surgical specimens showed 22 cases of carcinoma (18 papillary and 4 follicular) and 3 cases of autoimmune thyroid disease. The mean hospital stay was 4 days (range, 3-6 days). Transient asymptomatic hypocalcemia was observed in seven patients (28%). Preoperative laryngoscopy identified unilateral vocal cord paralysis in two patients (8%); these abnormalities were present before surgery and were therefore not considered surgical complications. Postoperative radioiodine treatment was administered to three patients. Pediatric endocrinologists conducted postoperative follow-up, including clinical assessment, ultrasound, and laboratory tests. Thyroidectomy in children should be performed in a specialized multidisciplinary pediatric center, with the involvement of an experienced thyroid surgeon when appropriate.

Indexed as

ChildrenMultidisciplinary teamPediatric surgeonPediatric thyroidectomyThyroid carcinomaThyroid disease

Identifiers

PMID42791478

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.