Die Wertigkeit des intraoperativen Ultraschalls bei der benignen Knotenstruma

Saalabian, S.; Ledwon, Joanna K.; Wahl, R. A.

doi:10.1007/s00104-005-1130-y

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…In der hier zu kommentierenden Arbeit berichten Saalabian et al [8] über eine Verfeinerung der knotenorientierten Schilddrüsenresektion durch Einsatz der intraoperativen Sonographie. Sie entdecken gegenüber der präoperativen Sonographie unter Benutzung eines 7,5 MHzSchallkopfes bei 35 der Patienten mehr Knoten, was im Konzept der knotenorientierten Resektion zu einer "radikaleren", d.h. mehr Schilddrüsengewebe resezierenden Therapie führt.…”

Section: Kom Men Tarunclassified

Kommentar (zu Saalabian et al.)

2006

Chirurg

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15. Pers son CP, Jo hann son H, Wes ter mark K et al. (1982) No du lar goi ter-is thy ro xi ne me di ca ti on of any va lue? World J Surg 6:391-396 16. Pfan nenstiel P (1988) So no gra phie und ge zielte Fein na del punk ti on der Schild drü se. In ter nist 29:545-549 17. Pickardt CR, Scri ba PC (1991) Was er war tet der Inter nist vom Chi rur gen bei Ope ra ti on gut ar ti ger Schild drü sener kran kun gen? Chi rurg 62:157-161 18. Sat ta MA, De Roas G, Tes ta A et al. (1993) Thy ro id can cer in su pres sed con trala te ral lobe of pa ti ents with hot thy ro id no du le. Eu rop J of Can cer 29A(8): 1190-1192 19. Scha bram J, Vor län der C, Wahl RA (2004) Dif fe rentia ted ope ra ti ve stra t egy in mi ni mal ly in va si ve, video-as sis ted thy ro id sur ge ry Re sults in 196 pa tients. World J Surg 28:1282-1286 20. Schmidt KJ, He wel Th, Abt L (1992) So no gra phische Un ter su chun gen der Rest schild drü se nach klas sisch sub to ta ler Re sek ti on und se lek ti ver Resek ti on ade no ma tös um ge bau ter Stru men. Akt Chir 27:285-288 21. Schmidt KJ, He wel Th, Strau be H et al. (1999) Intra ope ra tiv so no gra phisch kon trol lier te se lek ti ve Schild drü sen re sek ti on. Med Welt 50:185-187 22. Sei ler Ch, Gla ser Ch, Wag ner HE et al. (1997) Er höht das Kon zept der aus ge dehn ten Erstre sek ti on zur Stru ma re zi div pro phy la xe die chi rur gi sche Mor bi dität? Acta Chir Aus tria ca 29 : 85-89 23. Tan GH, Gha rib H, Rea ding CC (1995) So li ta ry thyro id no du le. Com pa ri son bet ween pal pa ti on and ul tra so no gra phy. Arch In tern Med 155(22): 2418-2423 24. Tho mush O, Se kul la C, Dral le H (2003) Rol le der tota len Thy reoi dek to mie im pri mären The ra pie konzept der be nig nen Kno ten stru ma. Chi rurg 74:437-443 25. Timm S, Gut mayer F, Lus ter M et al. (2003) Mor pholo gy and func ti on ad ap ted thy ro id sur ge ry: Re sults of a sin gle cen tre eva lua ti on. Lan gen becks Arch Surg 388:441 (Ab str 44) 26. Wahl RA, Khan O, La bus M et al. (1992) Nach sor ge nach chi rur gi scher The ra pie. In: Rö her HD, Wein heimer B (Hrsg) Schild drü se 1991. Wal ter de Gruy ter, Ber lin New York, S 287-301 27. Wahl RA, Rim pl I, Saala bi an S (1998) Dif fe ren tiated ope ra ti ve the ra py of thy ro id au to no my (Plummer‚s dis ease). Exp Clin En do cri nol Dia be tes 106 : 78-84 28. Wahl RA, Vor län der C, Scha bram J (2004) In zi den talom der Schild drü se-Re sek ti on oder Lo bek to mie. In: Sut ter Th, Brauck hoff M, Dral le H (Hrsg) Ak tu elle Chi rur gie en do kri ner Er kran kun gen und here ditär er Tu mo re. Gu ten berg, Leip zig, S 23-28 29. Wit te rick IJ, Abel SM, Hart wick W et al. (1993) In cidence and ty pes of non-pal pa bel thy ro id no du les in thy ro ids re mo ved for pal pa bel dis ease. J Oto laryn gol 22(4): 294-300

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Section: Kom Men Tarunclassified

Kommentar (zu Saalabian et al.)

2006

Chirurg

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An Evaluation of the Factors Affecting Failure of the Procedure in Reoperated Thyroidectomies: A Retrospective Analysis

Çomçalı

Özdemir

Ataş

et al. 2022

The American Surgeon™

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Background The aim of this study was to determine the factors affecting procedure failure in revision thyroidectomy surgery. Methods A total of 148 patients applied with revision surgery were separated into 2 groups according to the surgical success status. Comparisons were made of the 2 groups of patients where residual tissue was totally excised (Group 1, n:132) and patients where residual tissue could not be completely excised (Group 2, n:16). The patients were examined in respect of factors affecting the success of the procedure. Results The patients comprised 133 (89.9%) females and 15 (10.1%) males with a mean age of 49.68±12.02 years. Surgical failure was observed in 7 patients as the lesion could not be determined despite the use of intraoperative USG, and in 9 patients because of weak signal or signal loss. The determination of residual tissue ≤25mm on preoperative USG examination was seen to have a significant negative effect on surgical success (r=-0.329, p0.001). The patient having undergone ≥3 previous operations was determined to have a negative effect on surgical success (r=-0.229, p=0.005), and nerve damage on the opposite side to the lesion in a previous surgical procedure was determined to be the most important factor with a negative effect on surgical success (r=-0.571, p<0.001). In multinomial logistic regression analysis of the factors affecting success, the preoperative presence of nerve damage in the contralateral lobe to the lesion (OR: 33.11, 95% CI: 4.22-192.28, p<0.001) and lesion size ≤25 mm (OR: 10.10, 95% CI: 3.54-75.01, p=0.001) were determined to contribute significantly to surgical failure. Conclusion The results of this study clearly showed that as residual tissue size ≤25mm and contralateral nerve damage in the preoperative ultrasonographic evaluation are associated with surgical failure, alternative treatment methods such as radioactive iodine ablation may be preferred in these patients.

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Die Wertigkeit des intraoperativen Ultraschalls bei der benignen Knotenstruma

Cited by 2 publications

References 15 publications

Kommentar (zu Saalabian et al.)

Kommentar (zu Saalabian et al.)

An Evaluation of the Factors Affecting Failure of the Procedure in Reoperated Thyroidectomies: A Retrospective Analysis

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