Suppr超能文献

甲状腺肿的次全甲状腺切除术:时机与方式?

Less than total thyroidectomy for goiter: when and how?

作者信息

Makay Özer

机构信息

Division of Endocrine Surgery, Department of General Surgery, Ege University Hospital, Izmir, Turkey.

出版信息

Gland Surg. 2017 Dec;6(Suppl 1):S49-S58. doi: 10.21037/gs.2017.10.02.

Abstract

Benign goiter is the most common endocrine disease that requires surgery, especially in endemic areas suffering from iodine-deficiency. Recent European and American guidelines recommended total thyroidectomy for the surgical treatment of multinodular goiter. Total thyroidectomy has now become the technique of choice and is widely considered the most reliable approach in preventing recurrence. Nevertheless, total thyroidectomy carries a substantial risk in terms of hypoparathyroidism and the morbidity associated with injury to the inferior laryngeal nerve. In this context, partial/less-than-total thyroidectomy is being considered once again as a viable alternative. This review will discuss the extent of thyroid surgery for benign disease and the impact of the surgical protocol on the patient- and surgeon-specific risk factors for specific complication rates.

摘要

良性甲状腺肿是最常见的需要手术治疗的内分泌疾病,在碘缺乏的流行地区尤为如此。最近的欧美指南推荐对多结节性甲状腺肿进行手术治疗时采用全甲状腺切除术。全甲状腺切除术现已成为首选技术,并且被广泛认为是预防复发的最可靠方法。然而,全甲状腺切除术在甲状旁腺功能减退以及与喉返神经损伤相关的发病率方面存在重大风险。在这种情况下,部分/次全甲状腺切除术再次被视为一种可行的替代方案。本综述将讨论良性疾病甲状腺手术的范围以及手术方案对特定并发症发生率的患者和外科医生特定风险因素的影响。

相似文献

1
Less than total thyroidectomy for goiter: when and how?
Gland Surg. 2017 Dec;6(Suppl 1):S49-S58. doi: 10.21037/gs.2017.10.02.
2
Bilateral benign multinodular goiter: What is the adequate surgical therapy? A review of literature.
Int J Surg. 2016 Apr;28 Suppl 1:S7-12. doi: 10.1016/j.ijsu.2015.12.041. Epub 2015 Dec 18.
5
Total thyroidectomy. The preferred option for multinodular goiter.
Ann Surg. 1987 Dec;206(6):782-6. doi: 10.1097/00000658-198712000-00016.
6
The advantage of near-total thyroidectomy to avoid postoperative hypoparathyroidism in benign multinodular goiter.
Langenbecks Arch Surg. 2006 Nov;391(6):567-73. doi: 10.1007/s00423-006-0091-z. Epub 2006 Sep 21.
7
Total thyroidectomy for benign thyroid disease.
Laryngoscope. 2003 Oct;113(10):1820-6. doi: 10.1097/00005537-200310000-00030.

引用本文的文献

2
Giant multinodular goiter for 24 years; hidden in a village in Western Nepal.
Clin Case Rep. 2022 Jul 25;10(7):e6041. doi: 10.1002/ccr3.6041. eCollection 2022 Jul.
3
Patient satisfaction following thyroidectomy in surgical mission: a prospective study.
Gland Surg. 2019 Aug;8(4):385-388. doi: 10.21037/gs.2019.06.06.
5
Surgery for benign thyroid disease in 2018.
Gland Surg. 2018 Apr;7(2):239-241. doi: 10.21037/gs.2017.12.07.

本文引用的文献

1
Systematic review with meta-analysis of intraoperative neuromonitoring during thyroidectomy.
Int J Surg. 2017 Mar;39:104-113. doi: 10.1016/j.ijsu.2017.01.086. Epub 2017 Jan 25.
4
Total Thyroidectomy versus Bilateral Subtotal Thyroidectomy for Bilateral Multinodular Nontoxic Goiter: A Meta-Analysis.
ORL J Otorhinolaryngol Relat Spec. 2016;78(3):167-75. doi: 10.1159/000444644. Epub 2016 Jun 3.
7
Bilateral benign multinodular goiter: What is the adequate surgical therapy? A review of literature.
Int J Surg. 2016 Apr;28 Suppl 1:S7-12. doi: 10.1016/j.ijsu.2015.12.041. Epub 2015 Dec 18.
8
Total or near-total thyroidectomy versus subtotal thyroidectomy for multinodular non-toxic goitre in adults.
Cochrane Database Syst Rev. 2015 Aug 7;2015(8):CD010370. doi: 10.1002/14651858.CD010370.pub2.
9
Defining the syndromes of parathyroid failure after total thyroidectomy.
Gland Surg. 2015 Feb;4(1):82-90. doi: 10.3978/j.issn.2227-684X.2014.12.04.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验