단일 기관에서 시행한 로봇 내시경 갑상선 절제술 256예의 경험

• 영문명: Robotic Endoscopic Thyroidectomy; Experience with 256 Consecutive Cases in a Single Institution
• 발행기관: 대한내분비외과학회
• 저자명: 원태완 이광만 최운정 Tae Wan Won Kwang Man Lee Un Jong Choi
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』14권4호, 211~218쪽, 전체 8쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2014.12.30

영문 초록

Purpose: Conventional thyroidectomy through a skin crease incision in the anterior neck sometimes causes a visible scar. Minimally invasive surgical techniques have been developed, and, recently, more various techniques of remote access surgery such as endoscopic and robotic thyroidectomy have been suggested and actively applied. Robotic thyroid surgery has several advantages over endoscopic thyroid surgery. These advantages include three-dimensional magnified view, tremor-filtering system, multi-articulated motion, and more comfortable surgeon position, and assistants are unnecessary for performance of the robotic thyroid surgery. Methods: From November 2008 to July 2014, 256 patients underwent robotic endoscopic thyroidectomies through a transaxillary approach. An approximately 5 cm long incision was created on the axillary natural crease, so that the scar can be completely hidden by the arm. Patients' characteristics, postoperative clinical results, complications, and pathologic details were assessed. Results: The mean age of patients was 40.9±10.1 years. For benign tumors, we performed 56 less-than total thyroidectomies. For malignant tumors, we performed 175 less-than total thyroidectomies with central compartment node dissection, 21 total thyroidectomies with central compartment node dissection, and four total thyroidectomies with lateral neck node dissection (Benign=56, Malignant=200). The mean actual operation time (console time) was 91.5±48.7 min for benign tumors and 103.0±65.8 min for malignant tumors. The number of retrieved lymph nodes was 5.1±4.1 (mean) in malignant tumors. Internal jugular vein tearing occurred in two patients. Transient hypocalcemia (four patients) and transient hoarseness (six patients) occurred, but recovered within six months. Conclusion: Robotic endoscopic thyroidectomy is technically safe and feasible and also shows excellent cosmetic outcome.

키워드

흉터, 내시경 갑상선 수술, 로봇내시경 갑상선절제술,Scar, Endoscopic thyroid surgery, Robotic endoscopic thyroidectomy