측경부 최소침습절개술을 이용한 갑상선 일엽절제술의 효용성

강선미; 이해경; 강성수; 허민희; 고승상; 윤찬석; 강태호; 김세원

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자료유형: 학술저널

저자정보: 강선미 이해경 강성수 허민희 고승상 윤찬석 강태호 김세원

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제12권 제4호

발행연도: 2012.1

수록면: 258 - 263 (6page)

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Purpose: Minimal invasive open thyroidectomy is one option for minimal invasive surgery. The population of planned unilateral lobectomy is on the rise in parallel to the increased incidence of confined papillary thyroid microcarcinomas in Korea. In contrast to other minimal invasive modalities, few studies have examined the surgical outcome of minimal invasive open thyroidectomy. This study compared the lateral minimal invasive open thyroid lobectomy with conventional surgery and endoscopic surgery in terms of the feasibility and safety. Methods: A retrospective study was performed on 197 patients undergoing a thyroid lobectomy between January 2001 and December 2010. One hundred and three patients underwent a lateral minimal invasive open thyroid lobectomy, 42 patients underwent conventional surgery, and 44 patients underwent endoscopic surgery. Results: The hospitalization period with endoscopic surgery was 6.2 days, which was longer than the 5.3 days with a lateral minimal invasive open thyroid lobectomy (P=0.000). The surgical time was lower in those who underwent a lateral minimal invasive open thyroid lobectomy (88.2 minutes) than in those who underwent conventional surgery (107 minutes, P=0.000) or endoscopic surgery (124.1 minutes, P=0.000). In the patients with a diagnosis of malignancy, the mean number of retrieved LNs was similar in the three groups. Conclusion: A lateral minimal invasive open thyroid lobectomy offers advantages, such as a shorter surgical time and hospitalization period than others. This procedure can be a feasible alternative to the conventional or endoscopic approach in selected patients undergoing thyroid lobectomy.

#미세 갑상선유두암 #측경부 최소침습절개술 #전통적 방법 #내시경적 방법 #Papillary thyroid microcarcinoma #Lateral minimal invasive open thyroid lobectomy #Conventional #Endoscopic

참고문헌 (19)

참고문헌 신청

Alvarado R / 2008 / Minimally invasive thyroid surgery for single nodules: an evidence-based reviewof the lateral mini-incision technique / World J Surg 32 : 1341 ~ 1348

Bellantone R / 2002 / Video-assisted vs conventional thyroid lobectomy: a randomized trial / Arch Surg 137 : 301 ~ 304

Brunaud L / 2003 / Incision length for standard thyroidectomy and parathyroidectomy: when is it minimally invasive? / Arch Surg 138 : 1140 ~ 1143

Cavicchi O / 2006 / Minimally invasive nonendoscopic thyroidectomy / Otolaryngol Head Neck Surg 135 : 744 ~ 747

Cooper DS / 2009 / Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer / Thyroid 19 : 1167 ~ 1214