Hebenstreit H, Papadi H, Konrad G, Seitinger G, Reisenberger F J, Kratochvil A, Berger A
Chirurgischen Abteilung des Krankenhauses der Barmherzigen Brüder, Graz.
Acta Med Austriaca. 2000;27(2):45-8.
Since the beginning of 1994 standardized primary radical resection was performed in benign thyroid diseases at the surgical department, Barmherzige Brueder Hospital, Graz. In multinodular euthyroid goiter bilateral lobectomy or near total lobectomy respectively was done. In case of Graves' disease unilateral lobectomy and contralateral near total resection or "en bloc" thyroidectomy was performed. In accordance with literature a significant reduction of recurrent laryngeal nerve paralysis from approximately 9% to 1.2% occurred in our patients if this surgical procedure was performed consequently. Hypocalcemia rate after surgery needing treatment was approximately 1% at the time of demission.
自1994年初起，格拉茨的巴尔姆黑齐格兄弟医院外科对良性甲状腺疾病实施标准化原发性根治性切除术。对于多结节甲状腺肿患者，分别进行双侧甲状腺叶切除术或近全甲状腺叶切除术。对于格雷夫斯病患者，实施单侧甲状腺叶切除术及对侧近全切除术或“整块”甲状腺切除术。根据文献，如果严格执行该手术操作，我们的患者喉返神经麻痹发生率从约9%显著降至1.2%。出院时，术后需要治疗的低钙血症发生率约为1%。
