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Updated: May 8, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Trends in thyroid surgery in Illinois.

Jovenel Cherenfant1, Mistry Gage, Kathy Mangold

  • 1NorthShore University HealthSystem, and University Of Chicago Pritzker School of Medicine, Evanston, Ill.

Surgery
|September 7, 2013
PubMed
Summary
This summary is machine-generated.

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The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...

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Thyroid surgery volume increased significantly in Illinois from 1999-2009, with a rise in total thyroidectomies. Endocrine surgeons perform fewer operations but have higher individual volumes, suggesting evolving practice patterns.

Area of Science:

  • Surgery
  • Endocrinology
  • Health Services Research

Background:

  • Endocrine surgery is a developing subspecialty within general surgery.
  • Practice patterns in thyroid surgery were examined to assess the impact of this subspecialty.
  • An 11-year review of thyroidectomies in Illinois was conducted.

Purpose of the Study:

  • To analyze trends in thyroidectomy practice patterns in Illinois.
  • To evaluate the influence of endocrine surgeons (ES) on thyroid surgery outcomes.
  • To assess changes in hospital and surgeon types performing thyroidectomies over time.

Main Methods:

  • Utilized the Illinois COMPdata database for thyroid operations (1999-2009).
  • Employed univariate and multivariate logistic regression analyses.

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Last Updated: May 8, 2026

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  • Assessed the impact of surgeon and hospital type on thyroidectomy practice patterns.

    • Main Results:

    • Thyroid operation volume increased from 5,824 (1999-2004) to 8,454 (2005-2009).
    • Total thyroidectomy rates rose from 46% to 59% during the study period.
    • While most procedures occurred in community hospitals, their percentage decreased from 62% to 56%; Endocrine Surgeons (ES) showed the highest volume per surgeon.

    Conclusions:

    • Significant increase in Illinois thyroid operations over a decade, with a trend towards total thyroidectomy.
    • Decreased percentage of thyroidectomies performed in community hospitals.
    • Endocrine surgeons (ES) perform a smaller proportion of total operations but have the highest volume per surgeon, indicating specialization.
    • Findings may reflect national trends in thyroid surgery.