갑상선 유두암에서 BABA 내시경 갑상선 절제술에 대한 임상적 고찰

• 영문명: Endoscopic Thyroidectomy via Bilateral AxilloBreast Approach in Papillary Thyroid Carcinoma
• 발행기관: 대한내분비외과학회
• 저자명: 천보성 김재홍 박경식 배수연 정성일 유영범 양정현 윤여규¹ Bo Sung Cheon M.D. Jae Hong Kim M.D. Kyoung Sik Park M.D. Soo Youn Bae M.D. Sung Il Jung M.D. Young Bum Yoo M.D. Jung-Hyun Yang M.D. and Yeo-Kyu Youn M.D.¹
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』11권3호, 158~163쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2011.09.30

영문 초록

Purpose: The aim of this study was to evaluate the operative feasibility and safety of endoscopic thyroidectomy via bilateral axillo breast approach (BABA) compared to conventional thyroidectomy in papillary thyroid carcinoma (PTC) patients. Methods: From July 2009 to November 2010, patients underwent BABA endoscopic thyroidectomy (ET group; n=41) or conventional open thyroidectomy (OT group; n=61) for PTC. Clinical and pathologic characteristics of patients, operation time, post-operative complications, cosmetic satisfaction and thyroglobulin (TG) level were analyzed retrospectively. Results: The mean age of the patients was 40.05±9.58 years (range 25∼61 years) and 46.21±13.68 years (range 19∼79 years) for the ET and OT group, respectively. The operative extent in the ET group did not include advanced thyroid cancer or lateral neck dissection. The size of the tumor was 0.78±0.59 cm (range 0.1∼3.00 cm) and 1.54 ±1.05 cm (range 0.3∼6.00 cm) for the ET and OT group, respectively. Extrathyroidal extension and number of retrieved lymph nodes were significantly higher in the OT group. Postoperative radioactive iodine ablation was performed on 25 patients (72.43%) in the ET group and 48 patients (78.69%) in the OT group. There was no abnormal uptake on radioactive iodine scans in the iodine-treated patients and no significant differences in postoperative off-T4 TG levels between the two groups. There were no significant differences in operative time, amount of drainage, postoperative hospitalization period, hypocalcemia, and vocal cord palsy between the two groups. Cosmetic results of ET group were rated as excellent in a 3-month postoperative questionnaire by 25 (72.43%) of 35 patients. Conclusion: Endoscopic thyroidectomy via the bilateral axillo breast approach can be a feasible and effective option for PTC in selected cases. (Korean J Endocrine Surg 2011;11:158-163)

키워드

양측 액와유륜부 접근법, 내시경 갑상선 절제술, 유두상 갑상선암,Bilateral axillo breast approach, Endoscopic thyroidectomy, Papillary thyroid carcinoma