갑상선 일엽절제시 수술방법에 따른 임상적 비교 고찰

• 영문명: Clinical Analysis of Three Different Surgical Techniques in Unilateral Thyroid Lobectomy
• 발행기관: 대한내분비외과학회
• 저자명: 윤태일 안상익 정용식 소의영 Tae Il Yoon M.D. Sang Ick Ahn M.D. Yong Sik Jung M.D. and Euy Young Soh M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』4권2호, 97~100쪽, 전체 4쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2004.12.30

영문 초록

Purpose: The conventional surgical treatment for thyroid disease requires long skin incision with skin flap that can result in prominent scar, parethesia, hypesthesia in the neck. With recent developement in surgical techniques for thyroid tumors, several apporaches have been applied to neck surgery. We performed thyroid operations with 3 different methods and evaluated the role of respective operation method. Methods: Three different surgical methods; conventional, minimally invasive open, and endoscopic thyroidectomy with axillary approach, were performed on 60 patients who were admitted to Ajou medical center from June to December 2003. All patients were diagnosed as having a benighn mass in unilateral lobe of thyroid gland preoperatively by ultrasonography and fine needle aspiration cytology. We compared the clinical results of respective 3 operation methods each other. Results: Hospital stay and the operation time for minimal invasive open thyroidectomy was significantly shorter than those for endoscopic thyroidectomy (P＜0.000). Amounts of post operative analgesics were the lowest in minimal invasive open thyroidectomy than other groups (P＜0.019). The patients who was treated by using endoscopic procrdure were more satisfied with the cosmetic result. There was no significant complication in three groups. Conclusion: Minimally invasive open thyroidectomy and endoscopic thyroidectomy can be performed safely with cosmetic benefit, and then recommanded as a alternativeoperative method in selected patients. (Korean J Endocrine Surg 2004;4:97-100)

키워드

액와부접근을 통한 내시경 갑상선절제술, 최소침습 갑상선절제술, 갑상선 종양,Endoscopic thyroidectomy, Minimally invasive open thyroidectomy, Thyroid tumor