Skip to main content
SpringerLink
Log in

Endokrine Organe

  • Chapter
  • First Online:
Facharztwissen Viszeral- und Allgemeinchirurgie

  • 6487 Accesses

Zusammenfassung

Seit dem Ende des 19. Jahrhunderts und den Pionierarbeiten von E.T. Kocher (1841–1917) hat sich die endokrine Chirurgie rapide weiterentwickelt, um sich aktuell selbstständig als chirurgische Spezialität behaupten zu können. Sie bildet sich in einem Kooperationsnetzwerk sowohl aus Endokrinologen, Onkologen, Radiologen, Radiotherapeuten, Nuklearmedizinern, Hausärzten als auch Gastroenterologen oder Humangenetikern ab. Dieses Kapitel gibt eine Übersicht über die Vielfalt der benignen und malignen Erkrankungen der Schilddrüse, der Nebenschilddrüse und der Nebenniere. Eine besondere Beachtung wird dem Thema der familiären endokrinen Erkrankungen gewidmet. Die chirurgische Behandlungsstrategie nach den letzten Leitlinien wird didaktisch mittels Diagrammen und standardisierten Abläufen beschrieben. Die aktuellen operativen Techniken werden berücksichtigt, mit Augenmerk und einer kritischen Diskussion des Stellenwertes der minimalinvasiven Chirurgie.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Literatur

Literatur zu Abschnitt 6.1, 6.4 und 6.6

  • Dralle H, Damm I, Scheumann GF, Kotzerke J, Kupsch E, Geerlings H, Pichlmayr R (1994) Compartment-oriented microdissection of regional lymph nodes in medullary thyroid carcinoma. Surg Today 24: 112–121

    Article  CAS  PubMed  Google Scholar 

  • Lanz T von, Wachsmuth W (2004) Praktische Anatomie. Hals. Springer, Berlin Heidelberg

    Book  Google Scholar 

  • Standring S (2009) Gray’s anatomy. The anatomical basis of clinical practice, 40th edn. Churchill Livingstone, Elsevier, London

    Google Scholar 

  • Leonhardt H, Tillmann B, Töndury G, Zilles K (2003) In: Rauber A Kopsch F (Hrsg) Lehrbuch und Atlas der Anatomie des Menschen. Band 2: Innere Organe, 3. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Robbins KT, Shaha AR, Medina JE, Califano JA, Wolf GT, Ferlito A, Som PM, Day TA (2008) Consensus statement on the classification and terminologie of neck dissection. Arch Otolaryngol Head Neck Surg 134: 536–538

    Article  PubMed  Google Scholar 

  • Wittekind C, Greene FL, Henson DE et al. (2003) TNM Supplement, 3rd edn. Wiley-Liss. New York, pp 25–33

    Book  Google Scholar 

  • Qubain SW, Nakano S, Baba M, Takao S, Aikou T (2002) Distribution of lymph node micrometastasis in pN0 well-differentiated thyroid carcinoma. Surgery 131: 249–256

    Article  PubMed  Google Scholar 

  • Zilles K, Tillmann B (2010) Anatomie. Springer, Berlin Heidelberg

    Book  Google Scholar 

Literatur zu Abschnitt 6.2

  • Bellantone R, Lombardi CP, Raffaelli M, Rubino F, Boscherini M, Perilli W (1999) Minimally invasive, totally gasless video-assisted thyroid lobectomy. Am J Surg 177: 342–343

    Article  CAS  PubMed  Google Scholar 

  • Boucher M, Derwahl KM, Dietlein M, Dotzenrath C, Dralle H, Feldkamp J, Gimm O, Goretzki P, Gotthardt M, Grußendorf M, Heverhagen JT, Höffken H, Hofmann M, Hofmann S, Hüfner M, Joseph K, Luster M, Machens A, Musholt TJ, Pfestroff A, Rüschoff J, Scheel S, Schmid KW, Schulte KM, Schumm-Draeger PM, Schwarz C, Simon D, Verburg FA, Zielke A (2013) Schildrüse. In: Siewert JR, Rothmund M, Schumpelick V (eds) Praxis der Viszeralchirurgie. Endokrine Chirurgie. Springer, Berlin Heidelberg, pp 29–228

    Google Scholar 

  • Dralle H (2010) Aktuelle Schilddrüsen- und Nebenschilddrüsenchirurgie. Chirurg 81: 601–602

    Article  CAS  PubMed  Google Scholar 

  • Droese M (1995) Punktionszytologie der Schilddrüse, 2. Aufl. Schattauer, Stuttgart New York

    Google Scholar 

  • Feldkamp J (2009) Autoimmunthyreoiditis. Diagnose und Therapie. Dtsch Med Wochenschr 134: 2504–2509

    Article  CAS  PubMed  Google Scholar 

  • Ferlito A, Robbins KT, Shah JP, Medina JE et al. (2011) Proposal for a rational classification of neck dissections. Head Neck 33: 445-450

    PubMed  Google Scholar 

  • Gagner M (1996) Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg 83: 875

    Article  CAS  PubMed  Google Scholar 

  • Gärtner R, Dugrillon A (1998) Vom Jodmangel zur Struma – Pathophysiologie der Jodmangelstruma. Internist 39: 566–573

    Article  PubMed  Google Scholar 

  • Hubbard JGH, Inabnet WB, Lo CY (2009) Endocrine surgery. Principles and practice. Springer, London

    Google Scholar 

  • Ikeda Y, Takami H, Niimi M, Kan S, Sasaki Y, Takayama J (2001) Endoscopic thyroidectomy by the axillary approach. Surg Endosc 15: 1362–1364

    Article  CAS  PubMed  Google Scholar 

  • Ikeda Y, Takami H, Tajima G, Sasaki Y, Kurihara H, Niimi M (2002) Direct mini-incision thyroidectomy. Biomed Pharmacother 56: S60–S63

    Article  Google Scholar 

  • Kahaly G, Dralle H, Mann K, Reiner C (2011) Autoimmunthyreopathien. In: Brabant G, Karges W (Hrsg) Rationelle Diagnostik und Therapie in Endokrinologie, Diabetologie und Stoffwechsel. Thieme, Stuttgart New York

    Google Scholar 

  • Krohn K, Führer D, Bayer Y, Eszlinger M, Bauer V, Neumann S, Paschke R (2005) Molecular pathogenesis of euthyroid and toxic multinodular Goiter. Endocr Rev 26: 504–524

    Article  CAS  PubMed  Google Scholar 

  • Lanz T von, Wachsmuth W (1955) Die Schilddrüse. In: Lanz T von, Wachsmuth W (Hrsg) Praktische Anatomie, Band 1, Teil 2 Hals. Springer, Berlin Göttingen Heidelberg

    Chapter  Google Scholar 

  • Miccoli P, Berti P, Conte M, Bendinelli C, Marcocci C (1999) Minimally invasive surgery for small thyroid nodules: preliminary report. J Endocrinol Invest 22: 849–851

    Article  CAS  PubMed  Google Scholar 

  • Oertli D, Udelsman R (2007) Surgery of the thyroid and parathyroid glands. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Ohgami M, Ishii S, Arisawa Y, Ohmori T, Noga K, Furukawa T, Kitajima M (2000) Scarless endoscopic thyroidectomy: breast approach for better cosmesis. Surg Laparosc Endosc Percutan Tech 10: 1–4

    Article  CAS  PubMed  Google Scholar 

  • Pacini F, Castagna MG, Cipri C, Schlumberger M (2010) Medullary thyroid carcinoma. Clin Oncol 22: 475–485

    Article  CAS  Google Scholar 

  • Paschke R (2009) Abklärung des euthyreoten Schilddrüsenknotens: Wann punktieren? Stellenwert der Sonographie. Dtsch Med Wochenschr 134: 2498–2503

    Article  CAS  PubMed  Google Scholar 

  • Plummer HS, Boothby WM (1923) The cost of work in exophtalmic goiter. Am J Physiol 63: 406

    Google Scholar 

  • Sackett WR, Barraclough BH, Sidhu S, Reeve TS, Delbridge LW (2002) Minimal access thyroid surgery: is it feasible, i it appropriate? ANZ J Surg 72: 777–778

    Article  PubMed  Google Scholar 

  • Schardey HM, Schopf S, Kammal M, Barone M, Rudert W, Hernandez-Richter T, Pörtl S (2008) Invisible scar endoscopic thyreoidectomy by the dorsal approach: experimental: experimental development of a new technique with human cadavers and preliminary clinical results. Surg Endosc 22: 813–820

    Article  PubMed  Google Scholar 

  • Schmid KW (2010) Molekularpathologie von Schilddrüsentumoren. Pathologe 31: 229–233

    Article  PubMed  Google Scholar 

  • Sebag F, Palazzo FF, Harding J, Sierra M, Ippolito G, Henry JF (2006) Endoscopic lateral approach thyroid lobectomy: safe evolution from endoscopic parathyroidectomy. World J Surg 30: 802–805

    Article  CAS  PubMed  Google Scholar 

  • Shimazu K, Shiba E, Tamaki Y, Takiguchi S, Taniguchi E, Ohashi S, Noguchi S (2003) Endoscopic thyroid surgery through the axillo-bilateral–breast approach. Surg Laparosc Endosc Percutan Tech 13: 196–201

    Article  PubMed  Google Scholar 

  • Thomusch O, Dralle H (2000) Endokrine Chirurgie und evidenzbasierte Medizin. Chirurg 71: 635–645

    Article  CAS  PubMed  Google Scholar 

  • Wang TS, Udelsman R (2007) Remedial surgery for primary hyperparathyroidism. Adv Surg 41: 1–15

    Article  CAS  PubMed  Google Scholar 

  • Weber A, Randolph G, Aksoy F (2000) The thyroid and parathyroid glands. CT and MR imaging and correlation ith pathology and clinical findings. Radiol Clin North Am 38: 1105–1129

    Article  CAS  PubMed  Google Scholar 

  • Wheeler MH (1998) Total thyroidectomy for benign thyroid disease. Lancet 351: 1526–1527

    Article  CAS  PubMed  Google Scholar 

  • Witzel K, von Rahden BH, Kaminski C, Stein HJ (2008) Transoral access for endoscopic thyroid resection. Surg Endosc 22: 1871–1875

    Article  CAS  PubMed  Google Scholar 

Literatur zu Abschnitt 6.3

  • Abraham DT, Low T, Messina M et al. (2011) Medullary thyroid carcinoma: long-term outcomes of surgical treatment. Ann Surg Oncol 18: 219–225

    Article  PubMed  Google Scholar 

  • Brindel P, Doyon F, Bourgain C et al. (2010) Family history of thyroid cancer and the risk of differentiated thyroid cancer in French Polynesia. Thyroid 20: 393–400

    Article  PubMed  Google Scholar 

  • Crippa S, Saletti P, Barizzi J et al. (2012) The clinical management in familial adenomatous polyposis deserves continuous monitoring for thyroid carcinoma. BMJ Case Reports 2: 1–3

    Google Scholar 

  • Elisei R, Schlumberger MJ, Muller SP et al. (2013) Cabozantinib in progressive medullary thyroid cancer. J Clin Oncol 31: 3639–3646

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Liaw D, Marsh DJ, Li J et al. (1997) Germline mutations of the PTEN gene in Cowden disease, an inherited breast and thyroid cancer syndrome. Nat Genet 16: 64–67

    Article  CAS  PubMed  Google Scholar 

  • Lie S, Wang D, Ge J et al. (2015) Single-center study of familial papillary thyroid cancer in China: surgical considerations. W J Surg Onc 13: 115–121

    Article  Google Scholar 

  • Navas-Carrillo D, Rios A, Rodriguez JM et al. (2014) Familial nonmedullary thyroid cancer: screening, clinical, molecular and genetic findings. Biochim Biophys Acta 1846: 468–476

    CAS  PubMed  Google Scholar 

  • Pan L, Peng L, Jean-Gilles J et al. (2010) Novel PRKAR1A gene mutations in Carney complex. Int J Clin Exp Pathol 3: 545–554

    CAS  PubMed  PubMed Central  Google Scholar 

  • Steinhagen E, Guillem J, Chang G et al. (2012) The prevalence of thyroid cancer and benign thyroid disease in patients with familial adenomatous polyposis may be higher than previously recognized. Clin Colorectal Cancer 11: 304–308

    Article  PubMed  Google Scholar 

  • Sansal I, Sellers WR (2004) The biology and clinical relevance of the PTEN tumor suppressor pathway. J Clin Oncol 14: 2954–2963

    Article  CAS  Google Scholar 

  • Sung TY, Lee YM, Yoon JH et al. (2015) Surgical management of familial papillary thyroid microcarcinoma: a single institution study of 94 cases. World J Surg 39: 1930–1935

    Article  PubMed  Google Scholar 

  • Vargas-Barron J, Vargas-Alarcon G, Roldan FJ et al. (2008) Cardiac myxomas and the Carney complex. Rev Esp Cardiol 61: 1205–1209

    Article  PubMed  Google Scholar 

Literatur zu Abschnitt 6.5

  • Chen H, Wang TS, Yen TW, Doffek K, Krzywda E, Schaefer S, Sippel RS, Wilson SD (2010) Operative failure after parathyreoidectomy for hyperparathyroidism: the influence of surgical volume. Ann Surg 252: 691–695

    PubMed  Google Scholar 

  • Dralle H (2010) Aktuelle Schilddrüsen- und Nebenschilddrüsenchirurgie. Chirurg 81: 601–602

    Article  CAS  PubMed  Google Scholar 

  • Frazer WD (2009) Hyperparathyroidism. Lancet 374: 145–158

    Article  CAS  Google Scholar 

  • Hubbard JGH, Inabnet WB, Lo CY (2009)Endocrine surgery. Principles and practice. Springer, London

    Google Scholar 

  • Kunstman JW, Kirsch JD, Mahajan A, Udelsman R (2013) Parathyroid localisation and implications for clinical management. J Clin Endocrinol Metab 98: 902–912

    Article  CAS  PubMed  Google Scholar 

  • Lappas D, Noussios G, Anagnostis P, Adamidou F, Chatzigeorgiou A, Skandalakis P (2012) Location, number and morphology of parathyroid glands: results from a large anatomical series. Anat Sci Int 87: 160–164

    Article  PubMed  Google Scholar 

  • Lorenz K, Dralle H (2003) Chirurgie des Hyperparathyreoidismus. Chirurg 74: 593–615

    Article  CAS  PubMed  Google Scholar 

  • Lorenz K, Dralle H (2010) Intraoperative Parathormonbestimmung beim primären Hyperparathyreoidismus. Chirurg 81: 636–642

    Article  CAS  PubMed  Google Scholar 

  • Marcocci C, Cetani F (2011) Primary hyperparathyroidism. New Engl J Med 365: 2389–2397

    Article  CAS  PubMed  Google Scholar 

  • Marx SJ (2000) Hyperparathyroid and hypoparathyroid disorders. New England J Med 343(25): 1863–1875

    Article  CAS  Google Scholar 

  • Moreno MA, Callender GG, Woodburn K, Edeiken-Monroe BS, Grubbs EG, Evans DB, Lee JE, Perrier ND (2011) Common locations of parathyroid adenoms. Ann Surg Oncol 18: 1047–1051

    Article  PubMed  Google Scholar 

  • Oertli D, Udelsman R (2007) Surgery of the thyroid and parathyroid glands. Springer, Berlin, Heidelberg, New York

    Book  Google Scholar 

  • Rawat N, Khetan D, Williams W, Baxter JN (2005) Parathyroid carcinoma. Brit J Surg 92: 1345–1353

    Article  CAS  PubMed  Google Scholar 

  • Wang TS, Udelsman R (2007) Remedial surgery for primary hyperparathyroidism. Adv Surg 41: 1–15

    Article  CAS  PubMed  Google Scholar 

Literatur zu Abschnitt 6.7

  • Feig BW, Ching CD (2012) The MD Anderson Surgical Oncology Handbook, 5th edn. Lippincott Williams & Wilkins, Philadelphia Baltimore

    Google Scholar 

  • Hubbard JGH, Inabnet WB, Lo CY (2009) Endocrine surgery. Principles and practice. Springer, London

    Google Scholar 

  • Walz MK (1998) Minimal-invasive Nebennierenchirurgie. Chirurg 69: 613–620

    Article  CAS  PubMed  Google Scholar 

  • Walz MK (2012) Minimal-invasive Nebennierenchirurgie. Transperitonealer oder retroperitonealer Zugang? Chirurg 83: 536–545

    Article  CAS  PubMed  Google Scholar 

  • Young WF (2007) The incidentally discovered adrenal mass. New Engl J Med 356:601–610

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    F. Billmann

  2. Department of Surgery, Yale New Haven Hospital, PO Box 208062, New Haven, CT 06520-8062, USA

    C.E. Quinn

  3. The Wiliam H. Carmalt Professor of Surgery Department of Surgery – Yale New Haven Hospital, PO Box 208062, New Haven, CT 06520-8062, USA

    R. Udelsman

Authors
  1. F. Billmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C.E. Quinn
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Udelsman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to F. Billmann .

Editor information

Editors and Affiliations

  1. Klinik für Allgemeine Chirurgie, UKSH, Campus Lübeck, Lübeck, Germany

    Franck Billmann

  2. Klinik für Allgemeine Chirurgie, UKSH, Campus Lübeck, Lübeck, Germany

    Tobias Keck

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Billmann, F., Quinn, C., Udelsman, R. (2017). Endokrine Organe. In: Billmann, F., Keck, T. (eds) Facharztwissen Viszeral- und Allgemeinchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48308-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48308-4_6

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48307-7

  • Online ISBN: 978-3-662-48308-4

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation