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
- 2018.1
- 수록면
- 130 - 136 (7page)
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초록· 키워드
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Background and Objectives: Intraoperative neural monitoring (IONM) of recurrent laryngeal nerve (RLN) in thyroid surgery has been employed worldwide to identify and preserve the nerve as an adjunct to visual identification. The aims of this study was to evaluate the efficacy of IONM and difficulties in the learning curve. Materials and Methods: We studied 63 patients who underwent thyroidectomy with IONM during last 2 years. The standard IONM procedure was performed using NIM 3.0 or C2 Nerve Monitoring System. Patients were divided into two chronological groups based on the success rate of IONM (33 cases in the early period and 30 cases in the late period), and the outcomes were compared between the two groups. Results: Of 63 patients, 32 underwent total thyroidectomy and 31 thyroid lobectomy. Failure of IONM occurred in 9 cases: 8 cases in the early period and 1 case in the late period. Loss of signal occurred in 8 nerves of 82 nerves at risk. The positive predictive value increased from 16.7% in the early period to 50% in the late period. The mean amplitude of the late period was higher than that of the early period (p＜0.001). Conclusion: IONM in thyroid surgery is effective to preserve the RLN and to predict postoperative nerve function. However, failure of IONM and high false positive rate can occur in the learning curve, and the learning curve was about 30 cases based on the results of this study.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
정규원 / 2017 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2014 / Cancer Research and Treatment 49(2):292~305
Kern KA / 1993 / Medicolegal analysis of errors in diagnosis and treatment of surgical endocrine disease / Surgery 114(6):1167~1173
김성운 / 2012 / 재발성 갑상선 수술에서 근전도 튜브를 이용한 신경감시의 유용성 / 대한이비인후과학회지 두경부외과학 55(4):229~233
Randolph GW / 2011 / Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement / Laryngoscope 121(Suppl 1):S1~S16
Timmermann W / 2004 / Effectiveness and results of intraoperative neuromonitoring in thyroid surgery. Statement of the Interdisciplinary Study Group on Intraoperative Neuromonitoring of Thyroid Surgery / Chirurg 75(9):916~922
Kern KA / 1993 / Medicolegal analysis of errors in diagnosis and treatment of surgical endocrine disease / Surgery 114(6):1167~1173
김성운 / 2012 / 재발성 갑상선 수술에서 근전도 튜브를 이용한 신경감시의 유용성 / 대한이비인후과학회지 두경부외과학 55(4):229~233
Randolph GW / 2011 / Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement / Laryngoscope 121(Suppl 1):S1~S16
Timmermann W / 2004 / Effectiveness and results of intraoperative neuromonitoring in thyroid surgery. Statement of the Interdisciplinary Study Group on Intraoperative Neuromonitoring of Thyroid Surgery / Chirurg 75(9):916~922
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