Adler Joel T, Sippel Rebecca S, Schaefer Sarah, Chen Herbert
Section of Endocrine Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Lancet Oncol. 2008 Nov;9(11):1069-75. doi: 10.1016/S1470-2045(08)70276-6.
Endocrine disease has been recognised for thousands of years, but surgical treatment of endocrine disorders has only been widely used in the past century. Surgery is an effective treatment for hyperfunctioning glands and benign and malignant tumours. Advances in surgical technique have led to the development of short and safe operations with a high cure rate, and recent studies have not only assessed the success of the operations but also have focused on how these diseases affect patient-reported quality of life before and after surgery. In this Review, we summarise current approaches to surgical treatment of thyroid and parathyroid disease, focusing on how these approaches both preserve function and improve quality of life after surgery.
内分泌疾病已被认识数千年，但内分泌紊乱的外科治疗仅在过去一个世纪才得到广泛应用。手术是治疗功能亢进腺体以及良性和恶性肿瘤的有效方法。手术技术的进步带来了短而安全且治愈率高的手术的发展，并且近期研究不仅评估了手术的成功率，还关注这些疾病如何影响患者报告的手术前后生活质量。在本综述中，我们总结了目前甲状腺和甲状旁腺疾病的外科治疗方法，重点关注这些方法如何在保留功能的同时提高术后生活质量。
