Zentralblatt für Chirurgie最新文献_第4页

Intraoperative Bestimmung des intakten Parathormons (iPTH) in der Chirurgie des primären Hyperparathyreoidismus 自己的腹腔镜静脉注射

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/s-2002-31976

K. Hallfeldt, A. Trupka, J. Gallwas, K. Horn

引用次数: 6

Simultane Autotransplantation von Nebenschilddrüsengewebe im Rahmen der totalen Thyreoidektomie wegen M. Basedow oder benigner Knotenstruma 同时做甲状腺切除术

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/s-2002-31974

A. Trupka1, 2, W. Sienel2

引用次数: 28

Therapiestrategie der transgastralen Dränage bei retrogastralen Abszedierungen 超餐厅排水系统的治疗方法

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/s-2002-31978

G. Berthold1, I. Wanzar1, K. Jünemann2

引用次数: 0

Störungen des Kalziumstoffwechsels nach Schilddrüsenresektionen. Eine Analyse wesentlicher Einflussfaktoren 甲状腺激素新陈代谢受阻。关键因素的分析

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/s-2002-31972

T. Meyer1, S. Merkel1, M. Radespiel-Troeger2, W. Hohenberger1

引用次数: 9

Intraoperatives Neuromonitoring bei Schilddrüsenoperationen und Chirurgie der Nebenschilddrüse 从事甲状腺手术和甲状腺手术的神经监测

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/S-2002-31985

H. Dralle

引用次数: 5

Der Ramus externus des Nervus laryngeus superior (RELS): Ein Stiefkind in der Chirurgie der Schilddrüse

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/s-2002-31971

W. Timmermann1, W. Hamelmann1, Th. Meyer1, S. Timm1, C. Schramm1, F. Hoppe2, A. Thiede1

{"title":"Der Ramus externus des Nervus laryngeus superior (RELS): Ein Stiefkind in der Chirurgie der Schilddrüse","authors":"W. Timmermann1, W. Hamelmann1, Th. Meyer1, S. Timm1, C. Schramm1, F. Hoppe2, A. Thiede1","doi":"10.1055/s-2002-31971","DOIUrl":"https://doi.org/10.1055/s-2002-31971","url":null,"abstract":"Injury to the external branch of the superior laryngeal nerve (EBSLN) during thyroid surgery can cause serious consequences for patients who depend on control of pitch and a clear and for-ceful voice, like singers or professional speakers. We used the Neurosign 100 (cid:24) nerve monitor to identify 157 nerves in 108 patients undergoing thyroid surgery. The EBSLN was successfully identified in 98.7% of cases. The recording electrode could be placed either into the cricothyroid muscle or the vocal cord. The latter position proved superior if the recurrent laryngeal nerve had to be identified as well. 16 percent of the nerves crossed the branches of the superior thyroid artery at or below the upper pole of the gland, posing a “high risk” for intraoperative lesions. Our data confirm the results of smaller studies reporting this type of nerve course in 12% to 14% of patients. The present findings show a significant number of EBSLN to be in danger of injury when the superior thyroid artery is ligated during thyroid surgery. Neuromonitoring proofed to be a reliable method to identify the nerve, which is an important element in concepts to prevent its injury.","PeriodicalId":243030,"journal":{"name":"Zentralblatt für Chirurgie","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114530287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Beeinflusst der Zeitpunkt der Restthyreoidektomie die Prognose differenzierter Schilddrüsenkarzinome? 甲状腺乳癌发生的时间对甲状腺癌的观察有影响吗?

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/s-2002-31973

S. Walgenbach1, 2, Th. Junginger2

{"title":"Beeinflusst der Zeitpunkt der Restthyreoidektomie die Prognose differenzierter Schilddrüsenkarzinome?","authors":"S. Walgenbach1, 2, Th. Junginger2","doi":"10.1055/s-2002-31973","DOIUrl":"https://doi.org/10.1055/s-2002-31973","url":null,"abstract":"Komplettierungs-Abstract The purpose of this study was to evaluate whether the timing of completion thyroidectomy for differentiated thyroid carcinoma had an influence on the risk of the operation and patient’s survival. From January 1,1985 to March 31, 2001, 230 consecutive patients underwent surgery for differentiated thyroid carcinoma (178 papillary and 52 follicular carcinomas). In this article completion thyroidectomy was defined as the removal of the remaining thyroid tissue after any initial surgical procedure less than total thyroidectomy within an interval ranging from 3 days to 4 months after the initial surgical procedure. Of 99.1% (n = 228) of the 230 patients the postoperative course is known for 1 month to 36 years with a median follow-up of 5 years. Among 81 patients undergoing thyroidectomy as the initial operation, recurrent laryngeal nerve palsy occurred in 13.5% (n = 11). In 2 of these patients (2.5%) recurrent laryngeal nerve palsy was permanent. Transient recurrent laryngeal nerve palsy occurred more frequent in patients who underwent completion thyroidectomy within 8 days to 3 months of the initial surgical procedure (20.5%) than in patients, in whom completion thyroidectomy was performed either within 7 days of the primary operation or after a minimum of 3 months (5.2% in each group). Disease-free survival as well as long-term survival was not different after thyroidectomy or completion thyroidectomy for all differentiated thyroid carcinomas and in patients with papillary carcinomas. In order to reduce surgical morbidity we suggest that completion thyroidectomy should be performed either within 7 days of the primary operation or after a minimum of 3 months.","PeriodicalId":243030,"journal":{"name":"Zentralblatt für Chirurgie","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123398590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

Anwendung des Neuromonitoring des N. laryngeus recurrens in der Schilddrüsenchirurgie - eine prospektive Studie 这就是n

Zentralblatt für Chirurgie Pub Date : 2002-05-01 DOI: 10.1055/s-2002-31983

T. Friedrich1, A. Staemmler1, U. Hänsch2, P. Würl1, M. Steinert1, U. Eichfeld1

引用次数: 22

Ein Vergleich zwischen den Behandlungsergebnissen jüngerer und älterer Patienten mit einem primären Magenkarzinom 例如较年轻的和年老的病人在治疗时例如前胃癌

Zentralblatt für Chirurgie Pub Date : 2002-04-01 DOI: 10.1055/s-2002-31553

P. Piso, H. Bektas, U. Werner, T. Becker, H. Aselmann, H. Schlitt, J. Klempnauer

引用次数: 16

Ergebnisse der chirurgischen Therapie des lokal fortgeschrittenen kolorektalen Karzinoms 地方高密度乳癌手术治疗结果

Zentralblatt für Chirurgie Pub Date : 2002-04-01 DOI: 10.1055/s-2002-31558

H. Helfritzsch1 , 2, B. Böhm1, M. Thiele1, A. Altendorf-Hoffmann1, J. Scheele1

引用次数: 3