Update of the S2k guidelines. Surgical treatment of benign thyroid diseases

被引：0

作者：

Musholt, T. J. ^{[1
]}

Bockisch, A. ^{[2
]}

Clerici, T. ^{[3
]}

Dotzenrath, C. ^{[4
]}

Dralle, H. ^{[5
]}

Goretzki, P. E. ^{[6
]}

Hermann, M. ^{[7
]}

Holzer, K. ^{[8
]}

Karges, W. ^{[9
]}

Krude, H. ^{[10
]}

Kussmann, J. ^{[11
]}

Lorenz, K. ^{[12
]}

Luster, M. ^{[13
]}

Niederle, B. ^{[14
]}

Nies, C. ^{[15
]}

Riss, P. ^{[16
]}

Schabram, J. ^{[17
]}

Schabram, P. ^{[18
]}

Schmid, K. W. ^{[19
]}

Simon, D. ^{[20
]}

Spitzweg, Ch. ^{[21
]}

Steinmueller, Th. ^{[22
]}

Trupka, A. ^{[23
]}

Vorlaender, C. ^{[24
]}

Weber, T. ^{[25
]}

Bartsch, D. K. ^{[26
]}

机构：

[1] Johannes Gutenberg Univ Mainz, Univ Med Johannes Gutenberg, Viszeral & Transplantat Chirurg, Klin Allgemein,Sekt Endokrine Chirurg, Langenbeckstr 1, D-55101 Mainz, Germany

[2] Univ Klinikum Essen, Klin Nukl Med, Essen, Germany

[3] Kantonsspital St Gallen, Klin Chirurg, St Gallen, Switzerland

[4] Helios Univ Klinikum Wuppertal, Klin Endokrine Chirurg, Wuppertal, Germany

[5] Univ Klinikum Essen, Klin Allgemein Viszeral & Transplantat Chirurg, Sekt Endokrine Chirurg, Essen, Germany

[6] Charite, Endokrine Chirurg, Campus Virchow Klinikum, Campus Charite Mitte,Chirurg Klin, Berlin, Germany

[7] Krankenanstalt Rudolfstiftung Wien, Chirurg Abt 2, Vienna, Austria

[8] Univ Klinikum Marburg, Sekt Endokrine Chirurg Viszeral Thorax & Gefassch, Marburg, Germany

[9] Univ Klinikum Aachen, RWTH Aachen, Med Klin 3, Sekt Endokrinol & Diabetol, Aachen, Germany

[10] Charite, Klin Padiat Schwerpunkt Endokrinol & Diabetol, Berlin, Germany

[11] Schon Klin Hamburg Eilbeck, Klin Endokrine Chirurg, Hamburg, Germany

[12] Univ Klinikum Halle, Klin & Poliklin Allgem Viszeral & Gefasschirurg, Halle, Germany

[13] Univ Klinikum Giessen & Marburg, Nukl Med, Standort Marburg, Marburg, Germany

[14] Franziskus Spital, Sekt Endokrine Chirurg, Vienna, Austria

[15] Marien Hosp, Klin Allg & Viszeralchirurg, Osnabruck, Germany

[16] Chirurg Univ Klin Wien, Vienna, Austria

[17] Asklepios Klin Lich, Klin Endokrine Chirurg, Lich, Germany

[18] Anwaltskanzlei Ratajczak & Partner, Freiburg, Germany

[19] Univ Klinikum Essen, Pathol, Essen, Germany

[20] Ev Bethesda Krankenhaus Duisburg GmbH, Klin Allg & Viszeralchirurg, Duisburg, Germany

[21] Univ Munich, LMU Klinikum, Med Klin & Poliklin 2, Campus Grosshadern, Munich, Germany

[22] DRK Kliniken Westend, Chirurg Abt, Zentrum Allg & Viszeralchirurg, Berlin, Germany

[23] Klinikum Starnberg GmbH, Chirurg Klin, Starnberg, Germany

[24] Burgerhosp Frankfurt am Main, Endokrine Chirurg, Frankfurt, Germany

[25] Katholisches Klinikum Mainz, Klin Endokrine Chirurg, Mainz, Germany

[26] Univ Klinikum Giessen & Marburg, Klin Visceral Thorax & Gefasschirurg, Marburg, Germany

来源：

CHIRURG | 2018年 / 89卷 / 09期

关键词：

Thyroidectomy; Hypoparathyroidism; Thyroid diseases; Postoperative complications; Risk; Germany; RECURRENT LARYNGEAL NERVE; VIDEO-ASSISTED THYROIDECTOMY; ASSOCIATION GUIDELINES; MANAGEMENT GUIDELINES; MULTINODULAR GOITER; EXTERNAL BRANCH; SURGERY; NODULES; COMPLICATIONS; VOICE;

D O I：

10.1007/s00104-018-0653-y

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Thyroid resections represent one of the most common operations with 76,140 interventions in the year 2016 in Germany (source Destatis). These are predominantly benign thyroid gland diseases. Recommendations for the operative treatment of benign thyroid diseases were last published by the CAEK in 2010 as S2k guidelines (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. [AWMF] 003/002) against the background of increasingly more radical resection procedures. Hemithyroidectomy and thyroidectomy are routinely performed for benign thyroid disease in practice. The operation-specific risks show a clear increase with the extent of the resection. Therefore, weighing-up of the risk-indications ratio between unilateral lobectomy or thyroidectomy necessitates an independent evaluation of the indications for both sides. This principle in particular has been used to update the guidelines. In addition, the previously published recommendations of the CAEK for correct execution and consequences of intraoperative neuromonitoring were included into the guidelines, which in particular serve the aim to avoid bilateral recurrent laryngeal nerve paralysis. Moreover, the recommendations for the treatment of postoperative complications, such as hypoparathyroidism and postoperative infections were revised. The updated guidelines therefore represent the current state of the science as well as the resulting surgical practice.

引用

页码：699 / 709

页数：11

共 50 条

[1] Is total thyroidectomy the surgical procedure of choice for benign multinodular goiter? An evidence-based review [J].