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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.98 No.3
- 발행연도
- 2020.3
- 수록면
- 111 - 115 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: The anatomical variations of the thyroid gland including separate thyroidal remnant at the thyrothymic area are of significance during thyroid surgery for “total” thyroidectomy, and for recurrent goitre. In the present study, we aimed to detect the separate rests of thyroidal tissue in the thyrothymic region.
Methods: The thyrothymic region was explored for identification, dissection, and excision of separate thyroidal remnants in 134 patients who underwent primary thyroid surgery. In this series, we studied the incidence and anatomical features of the thyrothymic remnant and its relation with other embryologic remnants.
Results: Overall, 222 sides of the thyroid were explored in this study. An entirely separate thyrothymic remnant of the thyroid was identified and excised in 8 of 134 patients (6%). Mean size of removed remnants was 36.4 mm (range, 29-45 mm) in diameter. The incidences of pyramidal lobe (PL) and Zuckerkandl"s tubercle (ZT) were 71.6% and 59.7%, respectively. The thyrothymic remnant coexisted with PLs in 4 patients. Four patients had all 3 embryologic remnants: thyrothymic remnant, PLs, and ZTs.
Conclusion: An entirely separate thyroidal remnant at the thyrothymic area is not a rare variation. The considerably large size of a remnant may threaten the completeness of thyroidectomy and may result in recurrence if it is left behind after thyroid surgery. Awareness, identification, and excision of the separate remnant at the thyrothymic area and the other embryologic remnants are critical for ensuring completeness of thyroidectomy and preventing recurrences.
Methods: The thyrothymic region was explored for identification, dissection, and excision of separate thyroidal remnants in 134 patients who underwent primary thyroid surgery. In this series, we studied the incidence and anatomical features of the thyrothymic remnant and its relation with other embryologic remnants.
Results: Overall, 222 sides of the thyroid were explored in this study. An entirely separate thyrothymic remnant of the thyroid was identified and excised in 8 of 134 patients (6%). Mean size of removed remnants was 36.4 mm (range, 29-45 mm) in diameter. The incidences of pyramidal lobe (PL) and Zuckerkandl"s tubercle (ZT) were 71.6% and 59.7%, respectively. The thyrothymic remnant coexisted with PLs in 4 patients. Four patients had all 3 embryologic remnants: thyrothymic remnant, PLs, and ZTs.
Conclusion: An entirely separate thyroidal remnant at the thyrothymic area is not a rare variation. The considerably large size of a remnant may threaten the completeness of thyroidectomy and may result in recurrence if it is left behind after thyroid surgery. Awareness, identification, and excision of the separate remnant at the thyrothymic area and the other embryologic remnants are critical for ensuring completeness of thyroidectomy and preventing recurrences.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (14)
참고문헌 신청
Fernando R / 2014 / Embryologic remnants of the thyroid gland and their significance in thyroidectomy / World J Endocr Surg 6:110~112
Sackett WR / 2002 / Thyrothymic thyroid rests : incidence and relationship to the thyroid gland / J Am Coll Surg 195:635~640
Sheahan P / 2016 / Thyroid thyrothymic extension : an anatomic study in a surgical series / Head Neck 38:732~735
Cilento BW / 2005 / Retroesophageal thyrothymic thyroid rest / Ann Otol Rhinol Laryngol 114:416~418
Delbridge L / 2003 / Total thyroidectomy : the evolution of surgical technique / ANZ J Surg 73:761~768
Sackett WR / 2002 / Thyrothymic thyroid rests : incidence and relationship to the thyroid gland / J Am Coll Surg 195:635~640
Sheahan P / 2016 / Thyroid thyrothymic extension : an anatomic study in a surgical series / Head Neck 38:732~735
Cilento BW / 2005 / Retroesophageal thyrothymic thyroid rest / Ann Otol Rhinol Laryngol 114:416~418
Delbridge L / 2003 / Total thyroidectomy : the evolution of surgical technique / ANZ J Surg 73:761~768
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UCI(KEPA) : I410-ECN-0101-2020-514-000449540