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128. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

03.05. - 06.05.2011, München

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Surgery of Graves' disease – A 10 year review

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  • Florian Ruppe - Universitätsklinik Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • Kenko Cupisti - Universitätsklinik Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • Udo Janus - Universitätsklinik Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • Markus Krausch - Universitätsklinik Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • Nadja Lehwald - Universitätsklinik Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • Claus Eisenberger - Universitätsklinik Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf
  • Wolfram Trudo Knoefel - Universitätsklinik Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Düsseldorf

Deutsche Gesellschaft für Chirurgie. 128. Kongress der Deutschen Gesellschaft für Chirurgie. München, 03.-06.05.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11dgch016

doi: 10.3205/11dgch016, urn:nbn:de:0183-11dgch0168

Published: May 20, 2011

© 2011 Ruppe et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Surgical treatment of Graves' disease has changed over the last decade from Dunhills operation to total thyroidectomy as the standard operative procedure.

Materials and methods: Prospective analysis of 207 patients (81% female, 19% male)having been operated between 2000 and 2009 in our clinic.

Results: Today thyroidectomy has become the standard operative procedure (85 % in 2008 vs. 20% in 2000). Median age at time of surgery was 42.7 years (±13.6 y). Endocrine orbitopathy preoperativly was diagnosed in 48.5%.

Postoperative hypocalcaemia was found in 7.1% and recurrent laryngeal nerve paralysis in 1.7% of patients. The incidences of theses complications were not different between different types of operation. There was no recurrence of Grave´s disease after surgery. No patient needed additional radioiodine therapy.

Conclusion: Thyroidectomy is nowadays the standard treatment of Graves' disease in our department. It is an effective and safe way to treat hyperthyroidism. Postoperative hypoparathyroidism is the most noteworthy complication.