쇄골하 단일 절개를 통한 무기하 내시경 갑상선 절제술의 유용성

• 영문명: Feasibility of Gasless Endoscopic Thyroid Surgery through a Single Infraclavicular Approach
• 발행기관: 대한내분비외과학회
• 저자명: 신창열 이광만 최운정 Chang-yeol Shin M.D. Kwang-man Lee M.D. and Un-jong Choi M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』8권3호, 194~199쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2008.09.30

영문 초록

Purpose: Several approaches in endoscopic thyroid surgery have been developed to avoid large scars on the anterior neck. We assessed the feasibility and cosmetic benefit of performing gasless endoscopic thyroid surgery through a single infraclavicular approach.

Methods: Thirty-one patients with a benign thyroid mass on sonography received gasless endoscopic thyroidectomy through a single infraclavicular approach. A 5-cm infraclavicular incision was created laterally, depending on the distance from the clavicle to the thyroid mass, but which would be completely hidden by a V-shaped shirt collar. In some cases, hand-assisted vessel ligation was performed through this incision. Results: The study included 26 female patients (out of 31), and the mean age was 38.2 years old (range, 14 to 70). All patients received a unilateral thyroid lobectomy, with or without isthmectomy, and tumors were benign (follicular adenoma in 12 and adenomatous hyperplasia in 19). A recurrent laryngeal nerve was identified in all cases. The mean operation time was 162.5 min (range, 100 to 300 min). No patients required conversion to conventional open surgery or showed postoperative bleeding, even without drainage. Hoarseness occurred in 1 patient with injury of the recurrent laryngeal nerve, which was repaired through the same incision and recovered within 6 months. Temporary hoarseness occurred in another 3 patients, but recovered within 3 months. Conclusion: Gasless endoscopic thyroidectomy through a single infraclavicular approach improved cosmetic outcomes and allowed for bleeding control through hand-assisted ligation of vessels. Therefore, the technique is suitable for surgeons inexperienced in endoscopic thyroidectomy. (Korean J Endocrine Surg 2008;8:194-199)

키워드

내시경 갑상선 절제술, 단일절개,Endoscopic thyroidectomy, Single incision