양측 액와 유방 접근 내시경 갑상선 절제술에 대한 5년간의 분석

유영재; 윤정한; 박윤철; 박민호; 조진성

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자료유형: 학술저널

저자정보: 유영재 윤정한 박윤철 박민호 조진성

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제15권 제2호

발행연도: 2015.1

수록면: 41 - 46 (6page)

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연구주제

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연구배경

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연구방법

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연구결과

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Purpose: We investigated the efficacy and safety of endoscopic thyroidectomy using bilateral axillo-breast approach (BABA) by analyzing short term surgical outcomes.Methods: We retrospectively evaluated 355 patients who underwent BABA endoscopic thyroidectomy between August 2006 and December 2011 at Chonnam National University Hospital and Hwasun Chonnam National University Hospital. The age, sex, clinical and pathologic characteristics of tumors, extent of operation, conversion rate to open thyroidectomy, operation time, hospital stay, thyroglobulin levels after thyroidectomy, recurrence, and complications were analyzed retrospectively.Results: The mean age of the patients was 35 years. The 355 patients comprised 345 females (97.2%) and 10 males (2.8%). The benign tumor was 37 cases (10.4%) and the malignant tumor was 318 cases (89.6%). 28 patients (75.7%) of the benign tumor underwent lobectomy. In malignant tumor, 159 patients (50.0%) underwent lobectomy and 152 patients (47.8%) underwent total thyroidectomy. Mean operation time was 121.1±49.9 minutes, and mean hospital days were 3.4±1.1 days. 21 (6.0%) transient hypocalcemia and 7 (2.0%) permanent hypocalcemia were occurred. The transient voice change occurred in 5 patients (1.4%), but nobody suffered from the permanent recurrent laryngeal nerve injury. 4 patients of recurrent (1.3%) papillary thyroid carcinoma were treated by surgery.Conclusion: Compare to open thyroidectomy with long term follow up studies, BABA endoscopic thyroidectomy is a useful treatment option for both benign and malignant thyroid tumor.

#내시경 갑상선 절제술 #양측 액와 유방 접근법 #Endoscopic thyroidectomy #Bilateral axillo breast approach

참고문헌 (25)

참고문헌 신청

American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer / 2009 / Revised American Thyroid Association management guidelin

Chen AY / 2009 / Increasing incidence of differentiated thyroid cancer in the United States, 1988-2005 / Cancer 115 : 3801 ~ 3807

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

Choi JY / 2012 / Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute / Surg Endosc 26 : 948 ~ 955

Chung YS / 2007 / Endoscopic thyroidectomy for thyroid malignancies: comparison with conventional open thyroidectomy / World J Surg 31 : 2302 ~ 2306

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