Skip to main content
Top
Published in: World Journal of Surgery 10/2007

01-10-2007 | Letter to the Editor

Extended Resection for Thyroid Disease is Associated With More, Not Less Operative Morbidity Than Limited Resection

Authors: A. Machens, H. Dralle

Published in: World Journal of Surgery | Issue 10/2007

Login to get access

Excerpt

Based on a comparison of two successive cohorts from the same institution, a total of 4349 operations with 5785 “nerves at risk,” Seiler et al. [1] concluded that “extended resection for thyroid disease has less operative morbidity than limited resection,” which was also the title of their work. This message seems to go counter to intuition and, taken at face value, may be construed as implying that surgeons just need to extend the scope of the resection to reduce surgical morbidity. A closer look at the authors’ data, including an extension of the literature review beyond the year 1999, reveals that the opposite is likely to be true. …
Literature
1.
go back to reference Seiler CA, Vorburger SA, Bürgi U, et al. (2007) Extended resection for thyroid disease has less operative morbidity than limited resection. World J Surg 31:1005–1013PubMedCrossRef Seiler CA, Vorburger SA, Bürgi U, et al. (2007) Extended resection for thyroid disease has less operative morbidity than limited resection. World J Surg 31:1005–1013PubMedCrossRef
2.
go back to reference Dralle H, Sekulla C, Haerting J, et al. (2004) Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. Surgery 136:1310–1322PubMedCrossRef Dralle H, Sekulla C, Haerting J, et al. (2004) Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. Surgery 136:1310–1322PubMedCrossRef
3.
go back to reference Thomusch O, Machens A, Sekulla C, et al. (2003) The impact of surgical technique on postoperative hypoparathyroidism in bilateral thyroid surgery: a multivariate analysis of 5846 consecutive patients. Surgery 133:180–185PubMedCrossRef Thomusch O, Machens A, Sekulla C, et al. (2003) The impact of surgical technique on postoperative hypoparathyroidism in bilateral thyroid surgery: a multivariate analysis of 5846 consecutive patients. Surgery 133:180–185PubMedCrossRef
Metadata
Title
Extended Resection for Thyroid Disease is Associated With More, Not Less Operative Morbidity Than Limited Resection
Authors
A. Machens
H. Dralle
Publication date
01-10-2007
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 10/2007
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-007-9152-x

Other articles of this Issue 10/2007

World Journal of Surgery 10/2007 Go to the issue