Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Basedow disease. From subtotal to total thyroidectomy].

E Gemsenjäger1, Ph Valko, I Schweizer

  • 1Chirurgische Klinik, Spital Zollikerberg, Zollikerberg.

Praxis
|March 6, 2002
PubMed
Summary

Extensive or total thyroidectomy for Graves' disease significantly reduces recurrence rates. Near-total thyroidectomy offers low morbidity and is the preferred surgical approach for long-term recurrence-free survival.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Are specialists in ethics necessary in daily routine surgery?].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2010
Same author

[The visceral cervical fascia in thyroid surgery].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2009
Same author

[Differential gene expression signatures in well differentiated thyroid carcinomas].

Verhandlungen der Deutschen Gesellschaft fur Pathologie·2006
Same author

Thyroglobulin-positive, radioiodine-negative thyroid cancer.

Thyroid : official journal of the American Thyroid Association·2003
Same author

[Which lymphadenectomy in papillary thyroid gland carcinoma?].

Swiss surgery = Schweizer Chirurgie = Chirurgie suisse = Chirurgia svizzera·2003
Same author

Contralateral papillary thyroid cancer-high incidence in therapeutic completion thyroidectomy.

Thyroid : official journal of the American Thyroid Association·2002

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Thyroid Surgery

Context:

  • Graves' disease management relies on understanding its pathophysiology and employing optimal surgical techniques.
  • Surgical treatment for Graves' disease has evolved with advancements in pathophysiological knowledge and surgical approaches.

Purpose:

  • To evaluate the efficacy of subtotal versus total thyroidectomy in managing Graves' disease.
  • To assess surgical outcomes, including recurrence rates, morbidity, and functional results, following thyroidectomy for Graves' disease.

Summary:

  • This audit of 81 patients undergoing thyroidectomy for Graves' disease demonstrated a shift towards total thyroidectomy, with remnant size decreasing significantly.
  • Total thyroidectomy was associated with a 100% recurrence-free survival at 10 years for remnants < 3g, compared to 55.8% for remnants 3-6g.
  • Surgical morbidity was low, with no permanent hypoparathyroidism. Ophthalmopathy improved in 70% of patients, independent of the extent of thyroidectomy.

Impact:

  • Near-total thyroidectomy is recommended for Graves' disease to ensure long-term recurrence-free survival.
  • The study highlights the importance of meticulous surgical technique, such as capsular dissection, in achieving optimal outcomes.
  • Findings support total thyroidectomy as the treatment of choice due to its low morbidity and potential for complete autoantigen removal.

Related Experiment Videos