액와접근법을 이용한 무기하 내시경적 갑상선절제술: 단기 추적 관찰 결과 및 접근법의 변형

• 영문명: Gasless Endoscopic Thyroidectomy via an Axillary Approach: Short-term Outcomes and Modifications of Approach
• 발행기관: 대한내분비외과학회
• 저자명: 유태석 정진철 윤종호 Tae Suk You M.D Jin Cheol Jeong M.D. and Jong Ho Yoon M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』7권1호, 28~33쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2007.03.31

영문 초록

Purpose: With an accumulation of surgical experience for endoscopic or video-assisted thyroidectomy and improvements in surgical techniques and endoscopic instruments, these procedures have become a valid option for patients with benign thyroid nodules. These applications are now being expanded even to selected patients with low risk thyroid carcinomas. This study was performed to suggest new modified methods of approach on the use of a gasless endoscopic thyroidectomy via an axillary approach and to evaluate the short-term outcomes. Methods: Between May 2004 and March 2007, 66 female patients underwent a gasless endoscopic thyroidectomy via an axillary approach. Surgical outcomes were evaluated in terms of surgical time, length of hospital stay, the incidence of perioperative complications, and patient opinion at two and four months after surgery. Results: No cases required conversion to open surgery. The mean surgical time was 136.5⁑31.8 minutes, and the mean length of hospital stay was 4.2⁑1.1 days. There were two transient recurrent laryngeal nerve palsies, two minor tracheal injuries without air leakage, and two postoperative hemorrhages that required a second surgery. Only one patient (1.9%) and five patients (9.4%) complained of slight hypesthesia or paresthesia in the neck and anterior chest wall, respectively, and only three patients (5.7%) complained of discomfort while swallowing 4 months after surgery. Conclusion: Gasless endoscopic thyroidectomy via an axillary approach is a feasible and safe procedure and provides a minimal degree of postoperative complaints. This procedure is now a valid option for the surgical treatment of benign thyroid disease and its applications will broaden in the near future. (Korean J Endocrine Surg 2007;7:28-33)

키워드

내시경적, 무기하, 액와접근법,Endoscopic, Gasless, Axillary approach