Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry
AbstractBackground: 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.
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Bartsch, D.K.; Dotzenrath, C.; Vorländer, C.; Zielke, A.; Weber, T.; Buhr, H.J.; Klinger, C.; Lorenz, K.; the StuDoQ/Thyroid Study Group, S.S. Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry. J. Clin. Med. 2019, 8, 477.
Bartsch DK, Dotzenrath C, Vorländer C, Zielke A, Weber T, Buhr HJ, Klinger C, Lorenz K, the StuDoQ/Thyroid Study Group SS. Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry. Journal of Clinical Medicine. 2019; 8(4):477.Chicago/Turabian Style
Bartsch, Detlef K.; Dotzenrath, Cornelia; Vorländer, Christian; Zielke, Andreas; Weber, Theresia; Buhr, Heinz J.; Klinger, Carsten; Lorenz, Kerstin; the StuDoQ/Thyroid Study Group, the StuDoQ/Thyroid Study. 2019. "Current Practice of Surgery for Benign Goitre—An Analysis of the Prospective DGAV StuDoQ|Thyroid Registry." J. Clin. Med. 8, no. 4: 477.
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