Assuntos
Antissepsia/história , Áustria , História do Século XIX , Humanos , Hungria , Obstetrícia/históriaRESUMO
Based on the literature data and personal experience the author recommends the extrafascial technique of operation in cases with thyroid cancer. In nodular and polynodular goiters a subfascial operation is necessary since it prevents many complications.
Assuntos
Adenocarcinoma/cirurgia , Carcinoma Papilar/cirurgia , Bócio Nodular/cirurgia , Neoplasias da Glândula Tireoide/cirurgia , Tireoidectomia/métodos , Estudos de Avaliação como Assunto , Fasciotomia , Humanos , Complicações Pós-Operatórias/prevenção & controleRESUMO
On the basis of an experience with 109 operations for different kinds of recurrent goiter certain indications and contraindications for operation are recommended. For the prevention of recurrencies and conservative treatment of a recurrent goiter the administration of thyroid hormones is indicated. Original details of the method and operative technique are described.
Assuntos
Bócio/cirurgia , Bócio Nodular/cirurgia , Bócio Subesternal/cirurgia , Humanos , Recidiva , Tireoidectomia/métodosRESUMO
To determine the necessary extent of surgery in thyroid cancer 128 autopsy reports of patients with thyroid cancer were studied. It was found that in a group of those died from cancer the specific weight of death issues due to papillary cancer, most frequently observed, was small (8.5%), consequently these patients would show a recovery postoperatively. Patients with one lobe involved die following its resection but, as a rule, not because of the process spreading to the second lobe. The prognosis for patients with thyroid cancer largely depends on the histological type of tumor rather than the extent of surgery. All this supports the idea that in appropriate cases it is feasible to continue oneself to the resection of the lateral thyroid lobe for this kind of tumor.