갑상선 수술 시 Fibrin Tissue Glue의 사용에 대한 후향적 연구

• 영문명: The Use of Fibrin Tissue Glue in Thyroid Surgery : Retrospective Study of 255 Cases
• 발행기관: 대한내분비외과학회
• 저자명: 김찬호 최준호 정유승 강경호 한원식 노동영 오승근 윤여규 Chan Ho Kim M.D. Jun Ho Choe M.D. Yu Seung Jung M.D. Kyung Ho Kang M.D. Wonshik Han M.D. Dong- Young Noh M.D. Seung Keun Oh M.D. and Yeo-Kyu Youn M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』6권1호, 22~26쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2006.06.30

영문 초록

Purpose: This study was designed to determine the effectiveness of fibrin tissue glue for reducing the amount of drainage and shortening the hospital stay. Methods: 255 patients who underwent thyroidectomy due to papillary thyroid carcinoma (179 cases of total thyroidectomy and 76 cases of total thyroidectomy with unilateral modified radical neck dissection) were analyzed retrospectively. The clinical factors were compared between the case group (fibrin glue) and the control group (conventional hemostasis). This comparison was separately done for the cases of total tyroidectomy alone and for the cases of total thyroidectomy with MRND. Results: There were no significant differences between the two groups for the amount of drainage and the length of the hospital stay for patients who underwent total thyroidectomy alone. On the other hand, for patients who underwent total thyroidectomy with unilateral MRND, a significant reduction of the average amount of drainage (case group: 37.52±9.41 ml, control group: 42.89±10.82 ml, P*=0.025) and a significantly shortened hospital stay (case group: 3.43±0.50 days, control group: 3.75±0.69 days, P*=0.021) were observed in the case group. Conclusion: From the results of this study, we recommend the use of fibrin glue after extensive radical neck surgery such as modified radical neck dissection. Prospective randomized studies should be carried out to confirm and expand our results. (Korean J Endocrine Surg 2006;6:22-26)

키워드

생체 조직 접착제, 갑상선, 갑상선유두암,Fibrin tissue glue, Fibrin sealant, Papillary thyroid carcinoma, Thyroid