[Modified postoperative prevention of recurrence in euthyroid struma nodosa].
In a prospective clinical study after uni- or bilateral subtotal thyreoidectomy, cause of euthyreote goitre, no substitution with L-thyroxin was ordered postoperatively. The follow-up after three months and one year shows a representative time for judgement of the hormonal situation after three months. Over one year 55% with bilateral resection need hormone substitution but only 4% with unilateral. Bilateral subtotal thyroid resection seems to be a too extensive resection to leave enough functional thyroid tissue for a physiological function.
Kohler
A
A
Klinik für Viszeralchirugie, Departement Chirurgie, Universitätsspital Zürich.
Weder
W
W
Schimmer
R
R
Largiadèr
F
F
D005067:Euthyroid Sick Syndromes / Q000097:blood / Q000601:surgery*; D005500:Follow-Up Studies; D006044:Goiter, Nodular / Q000097:blood / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000097:blood / Q000517:prevention & control*; D012008:Recurrence; D013965:Thyroidectomy; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000008:administration & dosage*
D013972:Thyrotropin; D013974:Thyroxine
Modifizierte postoperative Rezidivprophylaxe bei der euthyreoten Struma nodosa.