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논문 기본 정보

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학술저널
저자정보
박준욱 (College of Medicine The Catholic University of Korea Seoul Korea) 권순영 (Korea University College of Medicine Seoul Korea) 백승국 (Korea University College of Medicine Seoul Korea) 김주현 (Yonsei University College of Medicine Seoul Korea) 주영훈 (College of Medicine The Catholic University of Korea Seoul Korea) 김상연 (College of Medicine The Catholic University of Korea Seoul Korea) 김근전 (College of Medicine The Catholic University of Korea Seoul Korea) 김현범 (College of Medicine The Catholic University of Korea Seoul Korea) 이동현 (College of Medicine The Catholic University of Korea Seoul Korea) 홍현준 (Yonsei University College of Medicine Seoul Korea) 박영민 (Yonsei University College of Medicine Seoul Korea) 정은재 (Seoul National University College of Medicine Seoul Korea) 지용배 (Hanyang University College of Medicine Seoul Korea) 오경호 (Korea University College of Medicine Seoul Korea) 이형신 (Kosin University College of Medicine Busan Korea) 이동근 (Dong-A University College of Medicine Busan Korea) 박기남 (Soonchunhyang University College of Medicine Asan Korea) 반명진 (Soonchunhyang University College of Medicine Asan Korea) 김보해 (Dongguk University College of Medicine Goyang Korea) 김도훈 (College of Medicine Inje University Busan Korea) 조재근 (College of Medicine Inje University Busan Korea) 안동빈 (School of Medicine Kyungpook National University Daegu Korea) 김민수 (CHA University School of Medicine Seongnam Korea) 석준걸 (National Cancer Center Goyang Korea) 장전엽 (Ajou University School of Medicine Suwon Korea) 최효근 (Hallym University College of Medicine Chuncheon Korea) 김희진 (Hallym University College of Medicine Chuncheon Korea) 박성준 (Chung-Ang University College of Medicine Seoul Korea) 정은경 (Chonnam National University Medical School Kwangju Korea) 김연수 (Konyang University College of Medicine Daejeon Korea) 홍용태 (Jeonbuk National University Medical School Jeonju Korea) 이영찬 (College of Medicine Kyung Hee University Seoul Korea) 원호륜 (Chungnam National University College of Medicine Daejeon Korea) 신성찬 (Pusan National University School of Medicine Yangsan Korea)
저널정보
대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제16권 제1호
발행연도
2023.2
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1 - 19 (19page)

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.The aim of this study was to develop evidence-based recommendations for determining the surgical extent in patients withlocally invasive differentiated thyroid cancer (DTC). Locally invasive DTC with gross extrathyroidal extension invadingsurrounding anatomical structures may lead to several functional deficits and poor oncological outcomes. At present, theoptimal extent of surgery in locally invasive DTC remains a matter of debate, and there are no adequate guidelines. OnOctober 8, 2021, four experts searched the PubMed, Embase, and Cochrane Library databases; the identified papers werereviewed by 39 experts in thyroid and head and neck surgery. The Grading of Recommendations Assessment, Developmentand Evaluation (GRADE) approach was used to assess the quality of evidence, and to develop and report recommenda-tions. The strength of a recommendation reflects the confidence of a guideline panel that the desirable effects of an inter-vention outweigh any undesirable effects, across all patients for whom the recommendation is applicable. After completingthe draft guidelines, Delphi questionnaires were completed by members of the Korean Society of Head and Neck Surgery. Twenty-seven evidence-based recommendations were made for several factors, including the preoperative workup; surgicalextent of thyroidectomy; surgery for cancer invading the strap muscles, recurrent laryngeal nerve, laryngeal framework,trachea, or esophagus; and surgery for patients with central and lateral cervical lymph node involvement. Evidence-basedguidelines were devised to help clinicians make safer and more efficient clinical decisions for the optimal surgical treatmentof patients with locally invasive DTC.
#Guidelines #Thyroidectomy #Recurrent Laryngeal Nerve #Trachea #Lymph Nodes #Esophagus

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