Cargando…
Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry
Background: To evaluate the current indications, resection strategies and short-term outcomes of surgery for benign goitre in a country with endemic goitre. Methods: Data of patients who underwent surgery for benign goitre were retrieved from the prospective StuDoQ/Thyroid registry and retrospective...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517925/ https://www.ncbi.nlm.nih.gov/pubmed/30965665 http://dx.doi.org/10.3390/jcm8040477 |
_version_ | 1783418354142281728 |
---|---|
author | Bartsch, Detlef K. Dotzenrath, Cornelia Vorländer, Christian Zielke, Andreas Weber, Theresia Buhr, Heinz J. Klinger, Carsten Lorenz, Kerstin |
author_facet | Bartsch, Detlef K. Dotzenrath, Cornelia Vorländer, Christian Zielke, Andreas Weber, Theresia Buhr, Heinz J. Klinger, Carsten Lorenz, Kerstin |
author_sort | Bartsch, Detlef K. |
collection | PubMed |
description | Background: To evaluate the current indications, resection strategies and short-term outcomes of surgery for benign goitre in a country with endemic goitre. Methods: Data of patients who underwent surgery for benign goitre were retrieved from the prospective StuDoQ/Thyroid registry and retrospectively analysed regarding the patient’s demographics, indications for surgery, surgical procedures, histology, and perioperative outcomes. Results: In a 15-month period, 12,888 patients from 83 departments underwent thyroid resections for benign conditions. Main indications for surgery were exclusion of malignancy (68%), compression symptoms (20.7%) and hyperthyroidism (9.7%). Preoperative fine needle aspiration cytology was performed in only 12.2% of patients with the indication “exclusion of malignancy”. Thyroidectomy (49.8%) or hemithyroidectomy (36.9%) were performed in 86.7% of patients. Minimally invasive or alternative surgical techniques were applied in only 2.2%. Intraoperative neuromonitoring was used in 98.4% of procedures, in 97.5% of patients at least one parathyroid gland was visualized, and in 15.3% of patients parathyroid tissue was autografted, respectively. The rates of unilateral and bilateral transient recurrent nerve palsy were 3.6% and 0.07% of nerves at risk, the rate of transitory hypoparathyroidism was 15.3%. The rates of postoperative bleeding and wound infections requiring reoperation were 1.4% and 0.07%, respectively. Conclusions: The indication “exclusion of malignancy” is made too liberally, and there is a strong attitude to perform complete thyroid resections. Postoperative hypoparathyroidism is the major complication after surgery for benign thyroid disease, thus requiring more awareness. |
format | Online Article Text |
id | pubmed-6517925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-65179252019-05-31 Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry Bartsch, Detlef K. Dotzenrath, Cornelia Vorländer, Christian Zielke, Andreas Weber, Theresia Buhr, Heinz J. Klinger, Carsten Lorenz, Kerstin J Clin Med Article Background: To evaluate the current indications, resection strategies and short-term outcomes of surgery for benign goitre in a country with endemic goitre. Methods: Data of patients who underwent surgery for benign goitre were retrieved from the prospective StuDoQ/Thyroid registry and retrospectively analysed regarding the patient’s demographics, indications for surgery, surgical procedures, histology, and perioperative outcomes. Results: In a 15-month period, 12,888 patients from 83 departments underwent thyroid resections for benign conditions. Main indications for surgery were exclusion of malignancy (68%), compression symptoms (20.7%) and hyperthyroidism (9.7%). Preoperative fine needle aspiration cytology was performed in only 12.2% of patients with the indication “exclusion of malignancy”. Thyroidectomy (49.8%) or hemithyroidectomy (36.9%) were performed in 86.7% of patients. Minimally invasive or alternative surgical techniques were applied in only 2.2%. Intraoperative neuromonitoring was used in 98.4% of procedures, in 97.5% of patients at least one parathyroid gland was visualized, and in 15.3% of patients parathyroid tissue was autografted, respectively. The rates of unilateral and bilateral transient recurrent nerve palsy were 3.6% and 0.07% of nerves at risk, the rate of transitory hypoparathyroidism was 15.3%. The rates of postoperative bleeding and wound infections requiring reoperation were 1.4% and 0.07%, respectively. Conclusions: The indication “exclusion of malignancy” is made too liberally, and there is a strong attitude to perform complete thyroid resections. Postoperative hypoparathyroidism is the major complication after surgery for benign thyroid disease, thus requiring more awareness. MDPI 2019-04-08 /pmc/articles/PMC6517925/ /pubmed/30965665 http://dx.doi.org/10.3390/jcm8040477 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bartsch, Detlef K. Dotzenrath, Cornelia Vorländer, Christian Zielke, Andreas Weber, Theresia Buhr, Heinz J. Klinger, Carsten Lorenz, Kerstin Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry |
title | Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry |
title_full | Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry |
title_fullStr | Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry |
title_full_unstemmed | Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry |
title_short | Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry |
title_sort | current practice of surgery for benign goitre—an analysis of the prospective dgav studoq|thyroid registry |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517925/ https://www.ncbi.nlm.nih.gov/pubmed/30965665 http://dx.doi.org/10.3390/jcm8040477 |
work_keys_str_mv | AT bartschdetlefk currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT dotzenrathcornelia currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT vorlanderchristian currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT zielkeandreas currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT webertheresia currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT buhrheinzj currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT klingercarsten currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT lorenzkerstin currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry AT currentpracticeofsurgeryforbenigngoitreananalysisoftheprospectivedgavstudoqthyroidregistry |