내시경하 갑상선절제술에 있어 CO₂ 가스주입은 안전한가? : 호기말 이산화탄소분압의 연속적 측정치를 통한 전향적 연구 :호기말 이산화탄소분압의 연속적 측정치를 통한 전향적 연구

최원범; 박용래; 최준호; 김흥대; 배원길

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자료유형: 학술저널

저자정보: 최원범 (성균관대학교) 박용래 (성균관대학교) 최준호 (성균관대학교) 김흥대 (성균관대학교) 배원길 (성균관대학교)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.73 No.4

발행연도: 2007.10

수록면: 290 - 293 (4page)

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이 논문의 연구 히스토리 (2)

2007

내시경하 갑상선절제술에 있어 CO₂ 가스주입은 안전한가? : 호기말 이산화탄소분압의 연속적 측정치를 통한 전향적 연구

최원범 , 박용래 , 최준호 외 2명 Annals of Surgical Treatment and Research 2007.10 학술저널

내시경 갑상선 절제술에 있어 CO2 가스주입은 안전한가? : 호기말 이산화탄소분압의 연속적 측정치를 통한 전향적 연구

최원범 , 박용래 , 배원길 대한외과학회 학술대회 초록집 2007.05 학술대회자료

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Purpose: Endoscopic thyroidectomy has recently been widely used in clinical practice. The operative method can be classified into CO₂gas insufflation and the gasless technique. This study assessed the safety of low pressure CO₂gas insufflation (up to 6 mmHg) by performing continuous measurement of the end-tidal CO₂ (ETCO₂) pressure.
Methods: From March 2003 to October 2006, 95 patients (90 hemithyroidectomies and 5 total thyroidectomies) underwent endoscopic thyroidectomy. The low pressure CO₂gas insufflation technique was applied in all cases. The ETCO₂ pressure of the patients was measured by capnometry at the time of a pre-CO₂gas insufflation status (0 minutes) and at the time of post-CO₂gas insufflation (30 minutes) and then it was measured every 30 minutes with also performing capnograms. We analyzed the ETCO₂ pressure at the time of the pre-CO₂gas insufflation status (0 min) and we compared this with that of each status by using paired T-test.
Results: For all 95 cases, the mean patient age was 36.2±9.1 (range: 21∼57 years), the mean tumor size was 1.7±1.1 (range: 0.1∼4.5 ㎝) and the mean operative time was 135.0±46.1 (range: 50∼340 min). The mean ETCO₂ pressure (mmHg) was 33.0±3.9 at the time of pre-CO₂gas insufflation status (0 min); the mean ETCO₂ pressure was 31.1±3.7 at 30 min (n=95), 33.5±3.7 at 60 min (n=95), 35.2±3.6 at 90 min (n=95), 34.9±3.7 at 120 min (n=90), 34.6±3.8 at 150 min (n=70), 34.1±3.4 at 180 min (n=40), 34.3±5.2 at 210 min (n=15) and 34.0±4.2 at 240 min (n=9). There was a significant difference the early post-CO₂gas insufflation status (P＜0.05 at 30 min, 90 min, 120 min), but there was no significant difference in the late post-CO₂gas insufflation status (P＞0.05; at 60 min, 150 min, 180 min, 210 min, 240 min). At each time point, the ETCO₂ pressures were all within the normal range.
Conclusion: We successfully performed endoscopic thyroidectomy with using the low pressure CO₂gas insufflation technique and there were no significant complications. We think that performing endoscopic thyroidectomy with using the low pressure CO₂gas insufflation technique is a safe procedure.

#Endoscopic thyroidectomy #CO₂gas insufflation #End-tidal CO₂(ETCO₂) pressure #내시경하 갑상선절제술 #CO₂가스주입 #호기말 이산화탄소분압

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