Surgery of the thyroid: recent developments and perspective
In the past century, thyroid surgery has benefited from physiological and technical revolutions. In the early 1900s, the most important aspect of thyroidectomy was the volume resected, without knowledge of exactly what was removed and if there were important structures around the thyroid gland. Th...
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| Format: | Article |
| Language: | English |
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SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2015-07-01
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| Series: | Swiss Medical Weekly |
| Subjects: | |
| Online Access: | https://www.smw.ch/index.php/smw/article/view/2058 |
| _version_ | 1811194152002519040 |
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| author | Jordi Vidal Fortuny Sébastien Guigard Wolfram Karenovics Frederic Triponez |
| author_facet | Jordi Vidal Fortuny Sébastien Guigard Wolfram Karenovics Frederic Triponez |
| author_sort | Jordi Vidal Fortuny |
| collection | DOAJ |
| description |
In the past century, thyroid surgery has benefited from physiological and technical revolutions. In the early 1900s, the most important aspect of thyroidectomy was the volume resected, without knowledge of exactly what was removed and if there were important structures around the thyroid gland. The main indications were respiratory problems for tracheal compression and the death rate was greater than 36% due to bleeding, infections, unrecognised bilateral recurrent laryngeal nerve lesions and unrecognised severe hypocalcaemia leading to tetany. At some point this surgery was, therefore, banned in some countries such as France and the United States.
Today, thyroid surgery is a common surgery: about 45,000 thyroidectomies are performed per year in France, 60,000 in Germany and 4,000 in Switzerland. Thyroid surgery has become very safe with a mortality of almost 0% and a very low complication rate. In our centre, the number of thyroidectomies has more than tripled in the last decade.
There are many indications leading to thyroid surgery, but the three main indications covering 90% of the interventions are cancer (or suspected cancer), hyperthyroidism and size / volume / intrathoracic goitres.
In this paper, we highlight some historical points, describe important knowledge and technical improvements made during the last century and give our opinion on expected evolution in this field for the near future.
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| first_indexed | 2024-04-12T00:21:07Z |
| format | Article |
| id | doaj.art-54dff3e10b514e2f999aaff5c7e5b5ff |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-12T00:21:07Z |
| publishDate | 2015-07-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-54dff3e10b514e2f999aaff5c7e5b5ff2022-12-22T03:55:42ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972015-07-01145313210.4414/smw.2015.14144Surgery of the thyroid: recent developments and perspectiveJordi Vidal FortunySébastien GuigardWolfram KarenovicsFrederic Triponez In the past century, thyroid surgery has benefited from physiological and technical revolutions. In the early 1900s, the most important aspect of thyroidectomy was the volume resected, without knowledge of exactly what was removed and if there were important structures around the thyroid gland. The main indications were respiratory problems for tracheal compression and the death rate was greater than 36% due to bleeding, infections, unrecognised bilateral recurrent laryngeal nerve lesions and unrecognised severe hypocalcaemia leading to tetany. At some point this surgery was, therefore, banned in some countries such as France and the United States. Today, thyroid surgery is a common surgery: about 45,000 thyroidectomies are performed per year in France, 60,000 in Germany and 4,000 in Switzerland. Thyroid surgery has become very safe with a mortality of almost 0% and a very low complication rate. In our centre, the number of thyroidectomies has more than tripled in the last decade. There are many indications leading to thyroid surgery, but the three main indications covering 90% of the interventions are cancer (or suspected cancer), hyperthyroidism and size / volume / intrathoracic goitres. In this paper, we highlight some historical points, describe important knowledge and technical improvements made during the last century and give our opinion on expected evolution in this field for the near future. https://www.smw.ch/index.php/smw/article/view/2058thyroid surgeryparathyroid Glands |
| spellingShingle | Jordi Vidal Fortuny Sébastien Guigard Wolfram Karenovics Frederic Triponez Surgery of the thyroid: recent developments and perspective Swiss Medical Weekly thyroid surgery parathyroid Glands |
| title | Surgery of the thyroid: recent developments and perspective |
| title_full | Surgery of the thyroid: recent developments and perspective |
| title_fullStr | Surgery of the thyroid: recent developments and perspective |
| title_full_unstemmed | Surgery of the thyroid: recent developments and perspective |
| title_short | Surgery of the thyroid: recent developments and perspective |
| title_sort | surgery of the thyroid recent developments and perspective |
| topic | thyroid surgery parathyroid Glands |
| url | https://www.smw.ch/index.php/smw/article/view/2058 |
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