무기하 액와 접근법을 이용한 로봇 갑상선 절제술: 단일 술자에 의한 최초 1년간의 경험

이잔디; 노재형; 이정훈; 나국영; 정웅윤; 소의영

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자료유형: 학술저널

저자정보: 이잔디 노재형 이정훈 나국영 정웅윤 소의영

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제10권 제3호

발행연도: 2010.1

수록면: 157 - 162 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

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Purpose: Various endoscopic thyroidectomy procedures have been designed to minimize visible cervical scarring. However, endoscopic thyroidectomy is a technically challenging procedure that is performed by a limited surgeon. Robotic systems aida surgeon in performing minimally invasive head and neck surgery by offering superior visualization and dexterity. This study reports the initial experience of one surgeon with robotic thyroidectomy to assess the technical feasibility and safety of the approach. Methods: One hundred four thyroid cancer patients (97 females, 7 males; mean age of 39.8±8.1 years) underwent robotic thyroidectomy using gasless transaxillary approach between November 2008 and October 2009 in Ajou University Hospital. All the procedures were completed successfully using the da Vinci surgical system without open conversion. Patient characteristics, postoperative clinical results, complications, and pathologic details were assessed. Results: Total thyroidectomy was performed in 25 (24.0%) patients, subtotal thyroidectomy in 13 (12.5%) patients, and unilateral lobectomy in 66 (63.5%) patients. All patients underwent ipsilateral central compartment neck dissection, and two patients underwent selective lymph node (LN) dissection. The mean operation time was 134.5±47.2 min (range 61∼310 min), in which the actual time for the thyroidectomy with lymphadenectomy (console time) was 56.4 min. (range 31∼270). The mean number of LN resected was 3.9 (range 0∼28). There were no serious complications. The mean hospital stay was 2.9±0.9 days (range 2∼7). Conclusion: Robotic thyroidectomy is a feasible, safe, and cosmetically excellent procedure. The application of robotic technology for thyroid surgeries could be an alternative to endoscopic or conventional open thyroidectomy. (Korean J Endocrine Surg 2010;10:157-162)

#로봇갑상선수술 #무기하 액와 접근법 #초기 경험 #수술결과 #Robotic thyroidectomy #Gasless transaxillary approach #Initial experience #Postoperative outcome

참고문헌 (25)

참고문헌 신청

Bhattacharyya N / 2001 / Benchmarks for mortality, morbidity, and length of stay for head and neck surgical procedures / Arch Otolaryngol Head Neck Surg 127 : 127 ~ 132

Chisholm EJ / 2009 / Systemic review and meta-analysis of the adverse effects of thyroidectomy combined with central neck dissection as compared with thyroidectomy alone / L

Choe JH / 2007 / Endoscopic thyroidectomy using a new bilateral axillo- breast approach / World J Surg 31 : 601 ~ 606

Gagner M / 1996 / Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism / Br J Surg 83 : 875 ~

Gagner M / 2001 / Inabnet WB III Endoscopic thyroidectomy for solitary thyroid nodules / Thyroid 11 : 161 ~ 163

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