Ultrasonically Activated Shears를 이용한 갑상선 수술에 대한 전향적 연구

• 영문명: Thyroidectomy Using Ultrasonically Activated Shears; Prospective Randomized Study
• 발행기관: 대한내분비외과학회
• 저자명: 김완욱 허성모 김성훈 이세경 임혜인 최재혁 김상민 이정언 김정한 김지수 남석진 양정현 최준호 Wan Wook Kim M.D. Sung Mo Hu M.D. Sung Hoon Kim M.D. Se-Kyung Lee M.D. Hye In Lim M.D. Jae Hyuck Choi M.D. Sangmin Kim Ph.D. Jeong Eon Lee M.D. Jung-Han Kim M.D. Jee Soo Kim M.D. Seok Jin Nam M.D. Jung-Hyun Yang M.D. and Jun-Ho Choe M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』9권2호, 69~73쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.06.30

영문 초록

Purpose: Adequate hemostasis in thyroidectomy is important to reduce postoperative complications including bleeding and hematoma. The object of this study was to evaluate the utility of thyroidectomy using ultrasonically activated shears. Methods: This was a prospective randomized controlled study. It was conducted on 95 patients who underwent total thyroidectomy between January and March 2009. Patients were divided into two groups according to operation method used: group A (n=49) underwent total thyroidectomy using ultrasonically activated shears, group B (n=46) involved the conventional clamp and tie maneuver. Comparisons included operation time, drain amount, hospitalization, postoperative complications and off-thyroglobulin. Results: The two groups had no significant differences regarding drain amount, hospitalization, postoperative complications and off-thyroglobulin. Operation time was statistically shorter in group A than group B (96.6±22.7 min vs 114.6±24.3 min) (P=.00). Conclusion: Thyroidectomy using ultrasonically activated shears reduces operation time significantly, and enables a complete and safe operation without postoperative complications. We recommend the use of ultrasonically activated shears in thyroidectomy. (Korean J Endocrine Surg 2009;9:69-73)

키워드

Ultrasonically activated shears, 갑상선 절제술, 수술 시간,Ultrasonically activated shears, Thyroidectomy, Operation time