Gemsenjäger E
Chirurgische Klinik, Spital Neumünster, Zollikerberg/Zürich.
Helv Chir Acta. 1993 Jun;59(5-6):815-8.
When thyroid surgery was founded and developed by BILLROTH, KOCHER, MICULICZ, HALSTED and de QUERVAIN a variable approach was practised with respect to the extent of dorsal mobilization, completeness of goiter resection and fineness of the operative technique. These aspects of goiter resection are actually still of interest: Nodules are now considered as growth marker and they must be completely excised, necessitating a careful dorsal mobilization; Kocher's correct plane of dissection is now anatomically defined as laying anterior to the lamella which covers the vessel and nerve-containing plate of the neck. This technical approach for complete goiter excision revealed to harbour a low operative morbidity, to eliminate autonomous function, and to prevent goiter recurrence.
当甲状腺手术由比尔罗斯、科赫尔、米库利奇、霍尔斯特德和德奎尔万创立并发展时，在背侧游离范围、甲状腺肿切除的完整性和手术技术的精细程度方面采用了多种方法。甲状腺肿切除的这些方面实际上仍然值得关注：现在结节被视为生长标志物，必须将其完全切除，这就需要仔细的背侧游离；科赫尔正确的解剖平面现在在解剖学上被定义为位于覆盖颈部血管和神经板的薄片前方。这种完全切除甲状腺肿的技术方法显示出手术发病率低、消除自主功能并预防甲状腺肿复发。
