[Indications and surgical therapy of thyroid gland diseases--analysis of 725 operated patients].
Diseases of the thyroid gland are an important part of elective surgical procedures. The adequate surgical therapy is at present standardized and requires a permanent qualitative control to reduce avoidable complications. The relation between men and women in our patients (n = 725) was 1 to 5. The mean age was 51.2 years. 10% (n = 79) of the patients were hyperthyroid. 646 patients had benign disease; and 79 patients were found to have malignancy of the thyroid gland. The most common indication for an operation was bilateral multinodular goitre (n = 325) in combination with a cold nodule (n = 123), in 79 patients latent hyperthyroidism or Morbus Basedow (n = 22). Struma nodosa with retrosternal extension (n = 49), recurrence of goitre (n = 34), thyroiditis (n = 12) and dystopic goitre (n = 2) were rare in these patients. Patients with malignancy of the thyroid gland were always treated by thyroidectomy or completed thyroidectomy with lymphnode dissection. In the cases of benign disease the surgical methods were variable, although the bilateral subtotal resection (n = 413) predominated. While doing so the radical resection of parenchyma with a persistent functioning remnant of goitre of 5 cm3 was favoured. The resulting postoperative complications are discussed. An endocrinological appropriate follow-up of the patients is necessary.
Steinert
M
M
Allgemeine Chirurgie, Chirurgische Onkologie und Thoraxchirurgie, Chirurgischen Klinik, Universität Leipzig.
Friedrich
T
T
Keitel
R
R
Sattler
B
B
Schönfelder
M
M
D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011785:Quality Assurance, Health Care; D061226:Recurrent Laryngeal Nerve Injuries; D013959:Thyroid Diseases / Q000209:etiology / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000209:etiology / Q000601:surgery*; D013965:Thyroidectomy; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000209:etiology
Indikation und operative Therapie von Schilddrüsenerkrankungen--Analyse von 725 operierten Patienten.