양성 갑상선 종양에서의 액와 접근법을 통한 무기하 내시경 갑상선 절제술

• 영문명: Gasless Endoscopic Thyroidectomy using the Trans-axillary Approach for Benign Thyroid Tumor
• 발행기관: 대한내분비외과학회
• 저자명: 이준상 강상욱 정종주 성태연 이승철 이용상 남기현 장항석 정웅윤 박정수 Jun-Sang Lee M.D. Sang-Wook Kang M.D. Jong Ju Jeong M.D. Tae Yon Sung M.D. Seung Chul Lee M.D. Yong Sang Lee M.D. Kee-Hyun Nam M.D. Hang Seok Chang M.D. Woong Youn Chung M.D. and Cheong Soo Park M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』8권3호, 200~205쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2008.09.30

영문 초록

Purpose: The techniques for minimally invasive surgery in various surgical fields have recently become markedly developed. The endoscopic surgical methods for head and neck surgery have been introduced somewhat later due to some technical limitations. However, various endoscopic techniques have been remarkably developed during the last 10 years. We also introduced a novel method of gasless endoscopic thyroidectomy using the trans-axillary approach. The aim of this study is to evaluate the feasibility and surgical outcome of this method for treating patients with benign thyroid tumor.

Methods: From Jan. 2002 to Dec. 2007, 171 patients with benign thyroid tumors underwent gasless endoscopic thyroidectomy via an axillary approach. We retrospectively analyzed the clinical and pathologic characteristics of the patients, the type of operation, the operative time, the post-operative hospital stay and the post-operative complications. Results: Among the 171 patients, the mean age of the patients was 33.3±10.0 years and the gender ratio was 1： 84.5 (males-2, females-169). The type of operation was classified according to the extent of surgery and there was no conversion to open thyroidectomy. The mean operation time and the mean length of the post-operative hospital stay were 129.7±51.6 minutes and 3.3±1.7 days, respectively. The mean tumor size was 2.70±1.18 cm and the most common pathologic diagnosis was adenomatous hyperplasia (106 cases, 62%). For the post-operative complications, transient hoarseness occurred in 6 patients, transient hypocalcemia occurred in 1 patient and trachea and esophageal injury occurred in 1 patient each. A tumor size larger than 5 cm and concurrent thyroiditis at time of the operation both increased the mean operation time (P= 0.009, P=0.023).

Conclusion: According to our experience, gasless endoscopic thyroidectomy using a trans-axillary approach is a feasible and safe method for treating benign thyroid tumor. Moreover, the cosmetic benefits can be maximized by this method as compared with the other methods. Endoscopic thyroid surgery has become a new treatment modality for selected patients with benign thyroid tumors. (Korean J Endocrine Surg 2008;8:200-205)

키워드

내시경적 갑상선 절제술, 무기하, 액와 접근법, 양성 갑상선 종양,Endoscopic thyroid surgery, Gasless, Trans- axillary approach, Benign thyroid tumor