in 1996, the Division of Endocrine Surgery at Conceição
Hospital Group, the largest health center in south of
Brazil, management by of the Health Ministry, with more
than 2,000 beds, that serves a large number of patients
with thyroid, parathyroid, adrenal and pancreatic surgical
endocrine diseases, as part of clinical training, teaching
and research projects in the field of Endocrine Surgery
for the Residence Program in General Surgery. Since that
time, we have grown to become one of the largest endocrine
surgery division in the country.
In 2,014 was established the fellowship program in Endocrine
Surgery, with one year of duration, providing advanced
clinical training, teaching and research opportunities
in the field of Endocrine Surgery .The candidates for
the residency program in area of expertise in endocrine
surgery, must have completed at least 2 (two) year residency
in general surgery, in regular program accredited by the
National Commission of Medical Residency (CNRM).
We are dedicated to advancing the art and science of endocrine
surgery through innovative laboratory and clinic research
and our surgeons are involved in studies of thyroid cancer,
hyperparathyroidism, adrenal tumors and neuro-endocrine
pancreatic e gastrointestinal tumors cases.
The Endocrine Surgery Division is made up by three experienced
Endocrine Surgeons( Alberto S. Molinari, M.D.,M.S. , Alberto
Treiguer, M.D. , José Gustavo Olijnyk,M.D. , M.S.).
and perform around 300 thyroidectomies, 60 parathyroidectomies,
8 adrenal tumors and 2 neuroendocrine pancreatic and GI
tumor cases / year. All this endocrine surgeons are Active
Member of the Brasilian Society of Surgical Endocrinology(SBEC).
The fellowship program in Endocrine Surgery is fully integrated
with the services of clinical endocrinology, nuclear medicine,
pathology and radiologythat routinely make meetings like
Tumor Board. Our Clinical and Research Fellowships are
integral components of our Program, working closely with
the surgical residents and medical students, help us to
provide the highest level of care for our patients. Our
research fellows seek to gain new understanding of endocrine
disease in order to improve the practice of endocrine
We also provide, with services of Nuclear Medicine, pathology,
Radiology/ultrasound and oncology services , rotations
and/or internships to supplement training in areas linked
to the surgical Endocrinology and indispensable for the
formation of the endocrine surgeon.
The resident in endocrine surgery should be encouraged
to participate in the scientific activities of the Brazilian
Society of Endocrinology and Metabolism (SBEM), the Brazilian
Society of Surgical Endocrinology and the annual meeting
of the AAES.
surgeons at this division commonly treat the following
diseases (grouped by area):
• Thyroid (thyroid nodules and goiters, thyroid
cancer, Graves' disease)
• Parathyroid (primary hyperparathyroidism, renal
patients with hyperparathyroidism and parathyroid cancers)
• Adrenal (pheochromocytoma, Cushing'ssyndrome,
hyperaldosteronism, adrenocorticalcancer, adrenal metastases,
• Pancreas (insulinoma, gastrinoma, neuroendocrine
tumors of the pancreas).
1- Demonstrate knowledge and understanding of the anatomy
and physiology of the endocrine glands, in their normal
and pathological States;
2- Demonstrate the ability to diagnose clinical endocrine
diseases associated with the endocrine surgery;
3- Develop knowledge of endocrine disorders, hereditary
and the understanding of the genetic role in these relations
as well as the management and your diagnosis;
4- Demonstrate a critical sense of controversy and of
current areas of research in the literature in the field
of endocrine surgical pathologies
5- Demonstrate the ability to apply this knowledge and
safely perform the appropriate surgical procedure for
all these endocrine pathologies here defined, recognizing
the best recommendation for each procedure.
1-Describe complete and detail the evolution of patients
suspected of having endocrine surgical disease. Collaborate
with the clinical evaluation and complementary to the
diagnosis and evolution of these patients and on appropriate
2-Participate in and handle the pre-operative and post-operative
care of patients undergoing the surgery of thyroid, parathyroid,
adrenal and neuro-endocrine pancreatic e gastrointestinal
3-Join the theoretical activities of medical residency
program in Clinical Endocrinology, when focus are pathologies
of the thyroid, parathyroid, adrenal and neuro-endocrine
tumors of the pancreas and gastrointestinal.
4-Training to develop basic science and clinical research
by enabling it to the collection, processing and interpretation
5-Enable to the interpretation of imaging in Nuclear Medicine
and Radiology of the endocrine surgery-related pathologies,
in rotation in Nuclear Medicine and radiology Services.
6- Perform, assist or assist the achievement of the following
-Total Thyroidectomy and neartotal
-Thyroidectomy for retrosternal goiter (mergulhante)
-Thyroidectomy for multinodular goiter (OKAY)
-Thyroidectomy for Graves ' disease
-Thyroid Reoperations (complement total thyroidectomy)
-Dissection of cervical central and lateral compartments
-Localization and resection of the inferior parathyroid
-Localization and resection of the superior parathyroid
-Localization and resection of ectopic parathyroid
-Reoperations in hyperparathyroidism
-Minimally invasive surgery in primary hiperparatireoisimo
-Surgical conventional Treatment in primary hyperparathyroidism
-Total Paratireoidectomia with transplantation and subtotal
in multiple endocrinopathy and chronic kidney patient.
c- ADRENAL GLANDS
-Adrenal surgery left (anterior, posterior and video-laparoscopic)
-Adrenal surgery (anterior, posterior and video-laparoscopic)
-Retro-peritonial Dissection of lymph nodes.
-Retro-peritonial block resection for malignancy.
d- NEURO-ENDOCRINE TUMORS OF THE PANCREAS AND
Resection and enucleation-neuro-endocrine Pancreatic Tumors
-Resection of You neuro-endocrine, gastro-intestinal including
mesenteric lymph node chain dissection.
7- Be able to interpret and order appropriately endocrine
tests and imaging studies for each of the following glands:
8- Enable proper interpretation on cytology and pathology
of the surgical conditions of thyroid and parathyroid
Training to develop basic science and clinical research
by enabling it to the collection, processing and interpretation
of the data in the statistical service curriculum rotation
and epidemiology of institution or in conjunction with
10- Develop skills to write and submit articles produced
within the service at national and international meetings.
11- Produce a scientific paper to be presented in national
magazine until the completion of the program.
Participate in studies of image, biochemical and metabolic
used for localization of ectopic parathyroid glands and
pancreatic insulinomas(intra-operative parathyroid hormone
dosage, trans-operative ultrasound, sequencial determination
of insulinemia stimulated by calcium)