Langenbeck's Archives of Surgery

, Volume 391, Issue 1, pp 1–3 | Cite as

Impact of modern technologies on quality of thyroid surgery

  • Henning Dralle

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...


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Department of General, Visceral and Vascular SurgeryMedical Faculty, University of HalleHalleGermany
  2. 2.Department of General, Visceral and Vascular SurgeryUniversity of HalleHalleGermany

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