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Updated: Jul 13, 2026

"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
Published on: November 28, 2025
100 consecutive thyroidectomies performed by a single surgeon in an upstate South Carolina teaching hospital: an
Richard K Orr1, Viralkumar S Patel, C Jason Rousseau
1Department of Surgery, Spartanburg Regional Medical Center, 101 E Wood Street, Spartanburg, SC 29303, USA. rick1841@yahoo.com
Abstract:
An experienced surgeon in a community hospital with surgical resident participation can perform thyroid surgery safely. An outcome analysis of 100 consecutive thyroidectomies showed a 1.2% incidence of permanent recurrent nerve injury and no cases of permanent hypo-parathyroidism. Temporary hypocalcemia was common (in total thyroidectomy patients) but was easily treated with oral calcium supplementation. Total thyroidectomy is an acceptable treatment for hyperthyroidism in those patients who are unable or unwilling to receive Radioiodine ablation.
