Impact of modern technologies on quality of thyroid surgery
- 80 Downloads
There exists no uniform definition of “conventional” vs “modern” thyroid surgery, and moreover, there are only few studies analyzing the efficacy of and outcome after thyroid surgery comparing conventional technique with “modern” types of thyroidectomy. The introduction of new technologies in thyroid surgery during the last decade, such as intraoperative monitoring of the recurrent laryngeal nerve, minimally invasive surgery, preparation and resection with harmonic scalpel, vessel dissection without ligatures, and intraoperative parathyroid hormone measurement, has led to several questions regarding the indication to and application of these methods: How to use? What about costs? What about patient selection and allocation? What about quality of surgery in terms of patient comfort and postoperative outcome? By applying new technologies, does the surgeon give up his key role as the most important factor of surgically related morbidity? Do new technologies such as intraoperative...
- 3.Dralle H, Sekulla C, Haerting J, Timmermann W, Neumann HJ, Kruse E, Grond S, Mühlig HP, Richter C, Voß J, Thomusch O, Lippert H, Gastinger I, Brauckhoff M, Gimm O (2004) Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. Surgery 136:1310–1322PubMedCrossRefGoogle Scholar
- 11.Randolph GW (2003) Surgical anatomy of the recurrent layngeal nerve. In: Randolph GW (ed) Surgery of the thyroid and parathyroid glands. Saunders, Philadelphia, PA, pp 300–342Google Scholar