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Endocrine Surgery

Endocrine specialists at London Bridge Hospital treat the group of glands in the body which secrete hormones; primarily the thyroid, the parathyroid, the adrenal and the pancreas. Where surgical treatment is necessary, endocrine surgery can be performed by experts in this field. Endocrine surgery is typically used to treat conditions such as thyroid cancer and problems of the pancreas.

 

Thyroid cancer operations

Thyroid cancer treatment at London Bridge Hospital covers all common types of thyroid cancer and also, the spectrum of rare and genetic thyroid cancers, such as Medullary Thyroid Cancer in Multiple Endocrine Neoplasia MEN. The service provides the removal of central neck lymph nodes and formal neck dissection in a functionally and cosmetically advantageous neck access. Where required, we remove chest lymph nodes of thyroid cancer through a chest access. We liaise closely with the associate specialties involved in the all-round treatment of thyroid cancer.

Multidisciplinary therapy for thyroid cancer

Every patient suspected of having thyroid cancer is treated by our multidisciplinary team of specialists in thyroid cancer therapy. This includes experts from endocrine surgery, nuclear medicine, endocrinology, histopathology, oncology and imaging, as well as experienced cancer nurses.

Parathyroid Operations

This service provides surgical expertise in removal of parathyroid adenomas in a primary setting or redo. The standard approach is minimal-access surgery following exact pre-operative localisation. The service provides expert experience in removal of ectopic (i.e. unusually located) parathyroid adenomas and multiple gland disease.

Parathyroid operations in renal failure (secondary hyperparathyroidism)

This service offers specialist primary and redo surgical access to parathyroid glands in chronic renal failure. For this purpose, elaborate pre-operative localisation tools are used. Care around surgery is provided in close partnership with our colleagues in nephrology.

Adrenal Operations

We provide laparoscopic (keyhole) adrenalectomy (i.e. the removal of the adrenal) as a standard approach for removal of diseased adrenals. The service also offers various open approaches as required. We have expertise in the treatment of adrenal tumours with endocrine activity, such as Conn's Disease, Cushing's Disease and pheochromocytoma (i.e. catecholamine-secreting tumours). We also treat cancer of the adrenal via large operations (removal of multiple organs) and participate in studies for multimodal therapy of adrenal cancer.

Pancreas operations

We provide laparoscopic (keyhole) and open surgery for endocrine tumours of the pancreas with hormone production such as insulinomas (i.e. tumours producing insulin), gastrinomas (tumours producing gastrin), and other rare neuro-endocrine pancreas tumours.

Operations in genetic/hereditary disease

Multiple Endocrine Neoplasia type I and type II require a multitude of highly-specific operations. We also possess expertise in ectopic (i.e. unusually located) tumours producing catecholamines, such as pheochromocytomas and paragangliomas. These rare tumours are usually found in patients with mutations of the SDH-gene complex. We also have experience with rare tumour syndromes such as hyperparathyroidism jaw tumour syndrome and others.

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Telephone:For general enquiries call: +44 (0)20 7407 3100
To book an appointment call: +44 (0)20 7234 2009
Email: info.lbh@hcahealthcare.co.uk