Kantonsspital St.Gallen

[Update of the S2k guidelines : Surgical treatment of benign thyroid diseases]

T J Musholt, A Bockisch, Thomas Clerici, C Dotzenrath, H Dralle, P E Goretzki, M Hermann, K Holzer, W Karges, H Krude, J Kussmann, K Lorenz, M Luster, B Niederle, C Nies, P Riss, J Schabram, P Schabram, K W Schmid, D Simon, Ch Spitzweg, Th Steinmüller, A Trupka, C Vorländer, T Weber, D K Bartsch & Leitliniengruppe Der CAEK

abstract Thyroid resections represent one of the most common operations with 76,140 interventions in the year 2016 in Germany (source Destatis). These are predominantly benign thyroid gland diseases. Recommendations for the operative treatment of benign thyroid diseases were last published by the CAEK in 2010 as S2k guidelines (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. [AWMF] 003/002) against the background of increasingly more radical resection procedures. Hemithyroidectomy and thyroidectomy are routinely performed for benign thyroid disease in practice. The operation-specific risks show a clear increase with the extent of the resection. Therefore, weighing-up of the risk-indications ratio between unilateral lobectomy or thyroidectomy necessitates an independent evaluation of the indications for both sides. This principle in particular has been used to update the guidelines. In addition, the previously published recommendations of the CAEK for correct execution and consequences of intraoperative neuromonitoring were included into the guidelines, which in particular serve the aim to avoid bilateral recurrent laryngeal nerve paralysis. Moreover, the recommendations for the treatment of postoperative complications, such as hypoparathyroidism and postoperative infections were revised. The updated guidelines therefore represent the current state of the science as well as the resulting surgical practice.
citation Musholt T J, Bockisch A, Clerici T, Dotzenrath C, Dralle H, Goretzki P E, Hermann M, Holzer K, Karges W, Krude H, Kussmann J, Lorenz K, Luster M, Niederle B, Nies C, Riss P, Schabram J, Schabram P, Schmid K W, Simon D, Spitzweg C, Steinmüller T, Trupka A, Vorländer C, Weber T, Bartsch D K, Leitliniengruppe der CAEK . [Update of the S2k guidelines : Surgical treatment of benign thyroid diseases]. Chirurg 2018; 89:699-709.
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 9-2018
journal title Chirurg (89/9)
ISSN electronic 1433-0385
pages 699-709
PubMed 29876616
DOI 10.1007/s00104-018-0653-y