최소침습 방사능 유도 부갑상선 수술

• 영문명: Minimally Invasive Radio-guided Parathyroid Surgery
• 발행기관: 대한두경부종양학회
• 저자명: 정웅윤(Woong Yoon Chung,) 장항석(Hang Seok Chang) 이종두(Jong Doo Lee) 박정수(Cheong Soo Park)
• 간행물 정보: 『대한두경부종양학회지』제15권 제2호, 194~199쪽, 전체 6쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1999.11.30

영문 초록

Introduction: Since 1996, Dr. James Norman has successfully performed mimimally invasive radio-guided parathyroidectomy(MIRP) using intraoperative nuclear mapping with 99m Tc sestamibi scanning and radioactivity detection probe. Objectives: We aimed to introduce this new surgical technique and evaluate it's efficacy by our own experiences. Method: From May to October 1999, five consecutive patients with primary hyperparathyroidism underwent parathyroidectomy by using modified MIRP technique. 99m Tc sestamibi scanning was performed 1.0 or 1.5 hour before operation. After intraoperative localization of the tumor under the guidance of quantitative gamma counting with a NEVIGATOR probe, an unilateral small skin incision(3.0-4.0cm) was placed. Without a skin flap, the strap muscle was directly divided with the use of a Harmonic scalpel. After careful dissection, the parathyroid tumor was removed. Result: In all patients, a single adenoma could be easily detected and removed by this new technique. Mean incision length was 3.2cm(3.0-4.0cm) and operative time ranged from 40 to 110minute. All the patients were discharged within 2 days of surgery without any complication. Conclusion: This new operative technique could become the most minimally invasive alternative to the standard operative procedure for parathyroid adenoma.

목차

Abstract

서론

대상 및 방법

결과

고찰

결론

References

키워드

Radio-guided parathyroidectomy