갑상선암 수술 중 발생하는 의도하지 않은 부갑상선 절제의 임상적 의의

• 영문명: Clinical Significances of the Unintentional Parathyroidectomy during Operation for Thyroid Carcinoma
• 발행기관: 대한내분비외과학회
• 저자명: 김영균 김정구 이동호 이혜경¹ 유영경 안창준 Young Gyun Kim M.D. Jeong Gu Kim M.D. Dong Ho Lee M.D. Hae Gyung Lee M.D.¹ Young Kyoung Yoo M.D. and Chang Joon Ahn M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』6권1호, 17~21쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2006.06.30

영문 초록

Purpose: Many surgeons intend to preserve all of the parathyroids during a thyroid operation; however, they have had the unpleasant experience of achieving unintentional parathyroidectomy. We studied the risk factors for unin-tentional parathyroidectomy and whether these unintentional parathyroidectomies caused symptomatic hypocalcemia. Methods: We conducted a retrospective review of the medical records and pathologic reports of 95 papillary carcinoma patients who underwent operations between January 1994 and December 2003. We statistically analyzed the correlation between unintentional parathyroidectomy and the risk factors such as tumor size, capsular invasion, including extra-thyroidal extension, and the operation method. Results: Of the total 95 procedures, 14 (14.7%) produced patho-logy reports stating that incidental parathyroid tissue was identified within the thyroidectomy specimen. The majority of the 14 reported cases contained only a single focus of inci-dental parathyroid tissue; however, one of these thyroidectomy specimens contained two foci of parathyroid tissue. The factors such as tumor size, capsular invasion and extensive surgery were not correlated with the prevalence of unintentional parathyroidectomy. There was no association of unintentional parathyroidectomy with postoperative hypocalcemia (P=.449).Conclusion: Unintentional parathyroidectomy is not associated with symptomatic postoperative hypocalcemia. The factors such as tumor size, capsular invasion or extensive surgery are not risk factors for unintentional parathyroidectomy. (Korean J Endocrine Surg 2006;6:17-21)

키워드

갑상선 유두상암, 의도하지 않은 부갑상선 절제,Thyroid papillary cancer, Unintentional parathyroidectomy