Meilensteine der Schilddrüsenchirurgie

Zusammenfassung

In der hier vorgelegten Darstellung der Entwicklung der Schilddrüsenchirurgie hin zu einer sicheren Chirurgie, die auf dem aktuellen chirurgischen und medizinhistorischen Forschungsstand und der verfügbaren einschlägigen Literatur basiert, wird die Entwicklungskontinuität hin zu den minimalinvasiven Operationsverfahren, die den dank der historischen Entwicklung erreichten hohen Sicherheitsstandards mindestens genügen müssen, erstmals im medizingeschichtlichen Kontext interpretiert. Das zunehmende Verständnis der Erkrankungen der Schilddrüse und der perioperativen Folgen und Komplikationen, die zu neuen medizinischen und therapeutischen Erkenntnissen führten, wird somit erstmals auch in diesem Kontext interpretiert.

Zur Verbesserung des Patientenkomforts im Hinblick auf die Operationswunde und spätere Narbenbildung werden seit Beginn des 21. Jahrhunderts immer wieder neue minimalinvasive Operationsmethoden beschrieben, die sich durch die Zugangsmodalitäten und -wege unterscheiden. Zukünftige Weiterentwicklungen der operativen Zugangswege und Methoden müssen dem heutigen hohen Stand der chirurgischen und nuklearmedizinischen Therapie und ihren Qualitäts- und Sicherheitsstandards mindestens genügen.

Abstract

Thyroid surgery has been developping to a safe surgery including minimally invasive treatment options meeting high safety standards up to now. This fascinating development is displayed in a medical-historical context based on the current state of surgical and medical-historical research. The increasing comprehension of thyroid diseases and treatments including their perioperative sequelae and complications is interpreted in this historical context. Newly implemented minimally invasive thyroid operations differ by access modalities and pathes and led to higher patient comforts regarding the wounds and scar formation. Future surgical techniques and new access pathes have to meet at least the present high safety and quality standards in thyroid surgery and nuclear medicine.

Schlüsselwörter

Schilddrüsenchirurgie - historische Meilensteine - minimalinvasive Chirurgie - Theodor Kocher - Recurrensparese

Key words

thyroid surgery - historical milestones - minimalinvasive surgery - Theodor Kocher - paralysis of the recurrent laryngeal nerve

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