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Der Klinikarzt 2014; 43(4): 206-209
DOI: 10.1055/s-0034-1376441
Schwerpunkt
© Georg Thieme Verlag Stuttgart · New York

Minimalinvasive endokrine Chirurgie – Schilddrüse – Nebenschilddrüse – Nebenniere

Minimally-invasive endocrine surgery – Thyroid – parathyroid – adrenal gland
Ayman Agha
1   Klinik für Allgemein-, Viszeral-, Gefäß- und Thoraxchirurgie, Städtisches Klinikum München Bogenhausen, München
,
Christian Moser
1   Klinik für Allgemein-, Viszeral-, Gefäß- und Thoraxchirurgie, Städtisches Klinikum München Bogenhausen, München
› Author Affiliations
Further Information

Publication History

Publication Date:
07 May 2014 (online)

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Zusammenfassung

Minimalinvasive Verfahren in der Schilddrüsenchirurgie sind spezifischen Selektionskriterien unterworfen und lediglich bei etwa 15 % der Patienten einsetzbar. Darüber hinaus gelten kompromisslos die gleichen Qualitätsmerkmale wie für die konventionelle Operationstechnik. Die offene minimalinvasive Parathyreoidektomie unter intraoperativer Parathormon-Messung stellt heutzutage die Standardtherapie des primären Hyperparathyreoidismus dar. Die minimalinvasive Adrenalektomie in trans- oder extraperitonealer Technik ist der Goldstandard zur Behandlung von benignen Nebennierentumoren.

Summary

With respect to specific selection criteria about 15 % of patients qualify for minimally-invasive thyroid surgery. Without compromise the same quality criteria as for the conventional open procedure have to be fulfilled. Minimally-invasive parathyroidectomy with intra-operative parathyroid hormone measurement represents the current operative standard treatment for primary hyperparathyroidism. Trans- or extraperitoneal minimally-invasive adrenalectomy has become the gold standard of care for patients with benign tumors of the adrenal gland.

Key words

Endocrine surgery - minimally-invasive - Minimally invasive video-assisted thyroidectomy (MIVAT) - intra-operative parathyroid hormone measurement
 

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