caa a22 4500 477099238 CHVBK 20180405111536.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/BF02629302 doi (NATIONALLICENCE)springer-10.1007/BF02629302 Long-term results of surgical therapy for hyperthyroidism [Elektronische Daten] [H. Lemmens, Th Steinmüller, R. Damwerth, S. Bachmann, P. Neuhaus] Summary: Background: The purpose of this study was to determine complications and long-term results of the surgical treatment for hyperthyroidism and to compare the different surgical approaches. Methods: 273 patients who had undergone thyroid surgery for hyperthyroid disease between the years 1982 and 1987 were investigated retrospectively. Indication for surgery was unifocal autonomy in 87 patients, multifocal/disseminated autonomy (MDA) in 82 and Graves' disease in 104 cases. The mean duration of followup was 74.5 months. Complete postoperative data were obtainable from 244 patients (89.4%). Results: Postoperative haemorrhage (0.7%), wound infection (0.4%), permanent palsy of the recurrent nerve (0.4%) and permanent hypoparathyroidism (0.7%) were below 1% irrespective of the surgical approach. Latent hyperthyroidism developed in 1 out of 71 patients with unifocal autonomy, in 1 out of 76 patients with MDA and in 8 out of 96 patients with Graves' diease. Postoperative thyrotoxicosis only occurred in patients with Graves' disease (5 of 96 [5.2%]), in 4 patients after bilateral subtotal resection (4 of 77 [5.2%]) and in 1 after hemithyroidectomy with contralateral subtotal resection (1 of 19 [5.3%]). The majority of the patients (70.6%) reported on a marked subjective clinical improvement through the operation. Conclusions: Surgery for hyperthyroid disease proved to be a safe procedure with good long-term results. As to the postoperative thyroid function, both surgical techniques, "bilateral subtotal resection” and "hemithyroidectomy with contralateral subtotal resection” proved equal in their outcome. The latter did not go along with a higher rate of complications. Blackwell Science Ltd, 1996 Hyperthyroidism nationallicence Surgery nationallicence Graves' disease nationallicence autonomy of the thyroid gland nationallicence Hyperthyreose nationallicence chirurgische Therapie nationallicence Morbus Basedow nationallicence Autonomie der Schilddrüse nationallicence Lemmens H. Department of Surgery, Humboldt University Berlin, Germany aut Steinmüller Th Department of Surgery, Humboldt University Berlin, Germany aut Damwerth R. Department of Surgery, Humboldt University Berlin, Germany aut Bachmann S. Department of Surgery, Humboldt University Berlin, Germany aut Neuhaus P. Department of Surgery, Humboldt University Berlin, Germany aut Acta Chirurgica Austriaca Springer-Verlag 28/5(1996-10-01), 322-322 0001-544X 28:5<322 1996 28 10353 https://doi.org/10.1007/BF02629302 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02629302 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lemmens H. Department of Surgery, Humboldt University Berlin, Germany aut NATIONALLICENCE 700 1- Steinmüller Th Department of Surgery, Humboldt University Berlin, Germany aut NATIONALLICENCE 700 1- Damwerth R. Department of Surgery, Humboldt University Berlin, Germany aut NATIONALLICENCE 700 1- Bachmann S. Department of Surgery, Humboldt University Berlin, Germany aut NATIONALLICENCE 700 1- Neuhaus P. Department of Surgery, Humboldt University Berlin, Germany aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/5(1996-10-01), 322-322 0001-544X 28:5<322 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer