지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 163 - 169 (7page)
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초록· 키워드
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Purpose: Gasless transaxillary endoscopic thyroidectomy has become a widely used surgical alternative due to the recent advances in the operative techniques and laparoscopic instruments, and its cosmetic superiority. The aim of this study is to analyze the factors associated with complications following surgery by reviewing 49 patients who underwent gasless transaxillary endoscopic thyroidectomy.
Methods: Between Nov. 2006 and Jun. 2009, 49 patients underwent gasless transaxillary endoscopic thyroidectomy via an axillary approach. The clinical and pathologic characteristics, operation type, postoperative hospital stay, operation time and post operative complications were retrospectively analyzed.
Results: Among the 49 patients, 37 had benign tumors and 12 had malignant tumors. Unilateral thyroid lobectomies were generally performed for benign tumors. For malignant ones, 7 lobectomies and 5 lobectomies with central lymph node dissection were done. In pathological review, most common benign disease was nodular hyperplasia, and the most common malignancy was papillary microcarcinoma. The mean operative time was 160.7±38.2 minutes (100∼295). The postoperative complications were as follows; neck and anterior chest discomfort (19 cases), operation wound infection (5 cases), seroma (3 cases), swallowing difficulty (3 cases) and hoarseness (3 cases).
Conclusion: Gasless transaxillary endoscopic thyroidectomy is a feasible and safe operation, and provides excellent cosmetic results. But there are still postoperative complications, it should be considered to reduce. (Korean J Endocrine Surg 2010;10:163-169)
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Cady B / 1998 / Papillary carcinoma of the thyroid gland: treatment based on risk group definition / Surg Oncol Clin N Am 7 : 633 ~ 644
Chantawibul S / 2003 / Total video endoscopic thyroidectomy by an axillary approach / J Laparoendosc Adv Surg Tech A 13 : 295 ~ 299
Chung YS / 2007 / Endoscopic thyroidectomy for thyroid malignancies / World J Surg 31 : 2302 ~ 2306
Cooper DS / 2009 / Revised American thyroid association management guidelines for patients with thyroid nodules and differentiated thyroid cancer / Thyroid 19 : 1167 ~ 1214
Gagner M / 1996 / Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism / Br J Surg 83 : 875 ~
Chantawibul S / 2003 / Total video endoscopic thyroidectomy by an axillary approach / J Laparoendosc Adv Surg Tech A 13 : 295 ~ 299
Chung YS / 2007 / Endoscopic thyroidectomy for thyroid malignancies / World J Surg 31 : 2302 ~ 2306
Cooper DS / 2009 / Revised American thyroid association management guidelines for patients with thyroid nodules and differentiated thyroid cancer / Thyroid 19 : 1167 ~ 1214
Gagner M / 1996 / Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism / Br J Surg 83 : 875 ~
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