갑상선암의 내시경 갑상선 절제술에서 근전절제술 및 전절제술의 임상적 비교

• 영문명: Comparative Study of Endoscopic Thyroidectomy: Total Thyroidectomy versus Near Total Thyroidectomy
• 발행기관: 대한내분비외과학회
• 저자명: 유한모 김태원 배자성¹ 조항주 김기환 안창혁 박우찬² 이동호³ 김정수 Han Mo Yoo M.D. Tae Won Kim M.D. Ja Sung Bae M.D.¹ Hang Joo Cho M.D. Kee Hwan Kim M.D. Chang Hyuk An M.D. Woo Chan Park M.D.² Dong Ho Lee M.D.³ and Jeong Soo Kim M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』9권4호, 201~205쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.12.30

영문 초록

Purpose: The aim of this study was to evaluate and compare the surgical outcomes of endoscopic total and near-total thyroidectomies in patients with thyroid cancer. Methods: Between February 2000 and January 2009, among 387 patients who underwent endoscopic thyroidectomy in our hospital, we evaluated 50 patients who underwent endoscopic total or near-total thyroidectomy. Thirty- five and 15 patients underwent endoscopic total thyroidectomy and near-total thyroidectomy, respectively. We analyzed the patients' clinicopathologic characteristics and post-operative complications between the two groups. Results: The mean size of tumors was 1.08 cm (range, 0.1∼3.5 cm) and the mean operative time was 192 minutes. Forty-nine tumors were papillary cancers and 1 tumor was a follicular cancer. Two patients in the endoscopic total thyroidectomy group underwent re-operation because of bleeding. In the near-total thyroidectomy group, one patient had transient hypocalcemia and one patient had temporary recurrent laryngeal nerve palsy. In the total thyroidectomy group, nine patients had transient hypocalcemia and one patient had temporary recurrent laryngeal nerve palsy. There was no statistical difference in the post-operative complicationrates between the two groups (P=0.254 for hypocalcemia and P=0.470 for injury to the recurrent laryngeal nerve). Conclusion: Based on our experience, endoscopic total thyroidectomy is a safe and feasible alternative to endoscopic near-total thyroidectomy. (Korean J Endocrine Surg 2009; 9:201-205)

키워드

갑상선 전절제술, 갑상선 근전절제술, 내시경적 갑상선 절제술, 갑상선암,Total thyroidectomy, Near total thyroidectomy, Endoscopic thyroidectomy, Thyroid cancer