Goretzki P E, Frilling A, Ohmann C, Wins L, Grussendorf M, Röher H D
Chirurgische Klinik A, Heinrich-Heine-Universität Düsseldorf.
Chirurg. 1989 Jun;60(6):398-402.
In a questionnaire we compared generally adviced therapeutical and technical procedures in patients with thyroid carcinomas with the actually favorized strategy of the clinically active surgeons. At present, sonography and cytology are not favored as preoperative diagnostic tools by the questioned surgeons. Hemithyreoidectomy as primary procedure in suspicious nodules is performed only seldomly. In the treatment of thyroid carcinoma total thyroidectomy is the accepted procedure and the possibility of restricted radicality in the treatment of papillary thyroid carcinomas has gained wide acknowledgement. Most surgeons prefer to visualize the recurrent nerve and at least one or two parathyroid glands. Autotransplantation of parathyroid glands with insufficient blood supply is considered only seldomly.
在一份调查问卷中，我们将甲状腺癌患者通常建议采用的治疗和技术程序与临床活跃外科医生实际青睐的策略进行了比较。目前，超声检查和细胞学检查并不受受访外科医生青睐作为术前诊断工具。对于可疑结节，很少将半甲状腺切除术作为主要手术。在甲状腺癌的治疗中，全甲状腺切除术是公认的手术方式，而在乳头状甲状腺癌治疗中采用有限根治性手术的可能性已得到广泛认可。大多数外科医生倾向于显露喉返神经和至少一两个甲状旁腺。很少考虑对血供不足的甲状旁腺进行自体移植。
