양측 액와유륜부 접근법을 이용한 무배액관 로봇 또는 내시경하 갑상선 절제술의 안정성에 대한 예비연구: 다기관 연구

김완욱; 정영주; 문소향; 강수환; 최정은; 조지형; 전영산

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자료유형: 학술저널

저자정보: 김완욱 정영주 문소향 강수환 최정은 조지형 전영산

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

발행연도: 2015.1

수록면: 47 - 51 (5page)

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연구배경

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연구방법

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Purpose: The aim of this study was to evaluate the safety of robotic or endoscopic thyroidectomy via bilateral axillo-breast approach (BABA) without a drainage procedure.Methods: A total of 64 patients who underwent robotic or endoscopic thyroidectomy via BABA without a close suction drain between February and March 2012 were enrolled. We checked postoperative symptoms or signs including change of vital signs, dyspnea, swelling or fluctuation of anterior chest and neck and compression symptoms at 1, 6, 24, and 48 hours and 1 month after surgery. Postoperative ultrasonography was performed in patients with at least one or more postoperative symptoms or signs in order to confirm hematoma or fluid collection.Results: None of the enrolled patients had dyspnea or change of vital signs. Two of 64 patients had swelling, 1 of 64 patients had fluctuation on the anterior chest, and 1 of 64 patients had compression symptoms. Fluid collection was confirmed in 2 of 4 of the above mentioned patients and the collected fluid was aspirated. The amounts of aspirated fluid were 25 mL and 8 mL. Thereafter, the follow up ultrasonography showed no more fluid collection in all patients. In addition, we rechecked the above mentioned symptoms or signs at 1 month after surgery; none of the enrolled patients had symptoms or signs.Conclusion: Robotic or endoscopic thyroidectomy via BABA without a closed suction drain shows no serious seroma or hematoma collection. Therefore, we expect that robotic or endoscopic thyroidectomy via BABA without a closed suction drain can reduce the pain, discomfort or longer hospital stay as a result of closed suction drain using this method.

#배액 #내시경하 갑상선 절제술 #로봇 갑상선 절제술 #양측 액와 유륜부 접근법 #Drain #Endoscopic thyroidectomy #Robotic thyroidectomy #Bilateral axillo-breast approach

참고문헌 (30)

참고문헌 신청

/ / Center NCI

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

Ardito G / 1999 / Drainage in thyroid surgery / Ann Ital Chir 70 : 511 ~ 516

Ariyanayagam DC / 1993 / Thyroid surgery without drainage: 15 years of clinical experience / J R Coll Surg Edinb 38 : 69 ~ 70

Bodner J / 2005 / Robotic resection of an ectopic goiter in the mediastinum / Surg Laparosc Endosc Percutan Tech 15 : 249 ~ 251

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