Ludwig Bartłomiej, Ludwig Maksymilian, Dziekiewicz Anna, Mikuła Agnieszka, Cisek Jakub, Biernat Szymon, Kaliszewski Krzysztof
Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Borowska Street 213, 50-556 Wroclaw, Poland.
Cancers (Basel). 2023 May 26;15(11):2931. doi: 10.3390/cancers15112931.
Thyroid cancer is the most common cancer of the endocrine system, and, in recent years, there has been a phenomenon of overdiagnosis followed by subsequent overtreatment. This results in an increasing number of thyroidectomy complications being faced in clinical practice. In this paper, we present the current state of knowledge and the latest findings in the fields of modern surgical techniques, thermal ablation, the identification and assessment of parathyroid function, recurrent laryngeal nerve monitoring and treatment and perioperative bleeding. We reviewed 485 papers, from which we selected 125 papers that are the most relevant. The main merit of this article is its comprehensive view of the subject under discussion-both general, concerning the selection of the appropriate method of surgery, and particular, concerning the selection of the appropriate method of prevention or treatment of selected perioperative complications.
甲状腺癌是内分泌系统最常见的癌症,近年来出现了过度诊断继而过度治疗的现象。这导致临床实践中面临的甲状腺切除术后并发症数量不断增加。在本文中,我们介绍了现代手术技术、热消融、甲状旁腺功能的识别与评估、喉返神经监测与治疗以及围手术期出血等领域的当前知识状态和最新研究结果。我们查阅了485篇论文,从中挑选出125篇最相关的论文。本文的主要优点在于对所讨论主题的全面审视——既包括一般性的,关于合适手术方法的选择,也包括特殊性的,关于所选围手术期并发症预防或治疗的合适方法的选择。