측경부 자연 피부 주름을 이용한 원위접근 갑상선절제술의 기술적 유용성 및 미용적 탁월성

• 영문명: Technical Feasibility and Cosmetic Superiority of Far Lateral Approach Using Natural Skin Fold of Lateral Neck for Thyroidectomy
• 발행기관: 대한내분비외과학회
• 저자명: 원태완 최운정 Tae Wan Won Un Jong Choi
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』14권4호, 205~210쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2014.12.30

영문 초록

Purpose: Surgery for thyroid disease requires skin incisions that can result in postsurgical problems. Therefore, several approaches in thyroid surgery have been developed to avoid large scars on the anterior neck. Since the first report of endoscopic subtotal parathyroidectomy, various endoscopic approaches have been reported. However, to be able to perform these procedures using endoscopic instruments in a skillful manner, sufficient training time and effort is required. We assessed the feasibility and cosmetic benefit of the far lateral neck approach using natural skin fold thyroidectomy. Methods: From July 2011 to February 2014, 123 patients underwent thyroidectomy via far lateral neck approach by one surgeon. An approximately 5 to 6 cm incision was created on the natural skin fold at the far lateral neck, so that the scar can be completely hidden by a V-shaped collar shirt. Thyroidectomy was performed using a Harmonic scalpelⓇ and conventional tie technique. Results: The mean operation time was 89.6±18.4 min for benign tumors and 79.1±30.1 min for malignant tumors. The number of retrieved lymph nodes (mean) was 5.4±3.5 in the central neck compartment dissection group, and 26.9±13.1 in the lateral neck lymph node dissection group. The 3, 6, and 12 month cosmetic satisfaction score (mean) after the operation was 7.47, 7.68, and 8.81. There were no hypertrophic scars or keloid on the neck. Conclusion: Far lateral approach using natural skin fold for thyroidectomy is safe and patients expressed high cosmetic satisfaction. In addition, the technique is suitable for inexperienced surgeons in endoscopic thyroidectomy. It can be a feasible alternative to conventional or endoscopic thyroidectomy.

키워드

측경부 접근법, 자연 피부주름, 갑상선 절제술,Far lateral neck approach, Natural skin fold, Thyroidectomy