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
- 2007.12
- 수록면
- 465 - 469 (5page)
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Purpose: A total thyroidectomy for the treatment of bilateral thyroid benign nodules is still controversial. This study prospectively compared the prognosis and complications of a total thyroidectomy with those after a subtotal thyroidectomy.
Methods: Between September 2003 and October 2006, a total of 110 consecutive patients with bilateral thyroid benign nodules underwent either a total (n=77) or subtotal thyroidectomy (n=33). Temporary or permanent hypoparathyroidism, temporary or permanent recurrent laryngeal nerve palsy, operation time, the length of hospital stay, postoperative thyroxine dosage in both operation groups were compared. In addition, the detection rate of a malignancy through a permanent biopsy was examined.
Results: There was a higher rate of temporary hypoparathyroidism, longer length of hospital stay and higher thyroxine dosage needed in the total thyroidectomy group than in the subtotal thyroidectomy group. There were no significant differences in the permanent hypoparathyroidism, temporary or permanent recurrent laryngeal nerve palsy and operation time between the two groups. The histopathological diagnosis was a malignant tumor in 13 patients.
Conclusion: This study suggests that a total thyroidecotmy can be performed without increasing risk of complications. A total thyroidectomy avoids recurrent nodules for the removal of the whole thyroid tissue, which avoids the need for secondary surgery with an increased risk of complications when compared with primary thyroid surgery. A total thyroidecotmy is considered the first choice for the management of bilateral thyroid benign nodules.
Methods: Between September 2003 and October 2006, a total of 110 consecutive patients with bilateral thyroid benign nodules underwent either a total (n=77) or subtotal thyroidectomy (n=33). Temporary or permanent hypoparathyroidism, temporary or permanent recurrent laryngeal nerve palsy, operation time, the length of hospital stay, postoperative thyroxine dosage in both operation groups were compared. In addition, the detection rate of a malignancy through a permanent biopsy was examined.
Results: There was a higher rate of temporary hypoparathyroidism, longer length of hospital stay and higher thyroxine dosage needed in the total thyroidectomy group than in the subtotal thyroidectomy group. There were no significant differences in the permanent hypoparathyroidism, temporary or permanent recurrent laryngeal nerve palsy and operation time between the two groups. The histopathological diagnosis was a malignant tumor in 13 patients.
Conclusion: This study suggests that a total thyroidecotmy can be performed without increasing risk of complications. A total thyroidectomy avoids recurrent nodules for the removal of the whole thyroid tissue, which avoids the need for secondary surgery with an increased risk of complications when compared with primary thyroid surgery. A total thyroidecotmy is considered the first choice for the management of bilateral thyroid benign nodules.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (22)
참고문헌 신청
1. [학술지(정기간행물)] - Tan GH / 1997 / Thyroid incidentalomas: management approaches to nonpalpable nodules discovered incidentally on thyroid imaging / Ann Intern Med 26 : 226 ~ 231
2. [학술지(정기간행물)] - Mishra A / 2001 / Total thyroidectomy for benign thyroid disorders in endemic region / World J Surg 25 : 307 ~ 310
3. [학술지(정기간행물)] - Khadra M / 1992 / Total thyroidectomy; its role in the management of thyroid disease / Aust N Z J Surg 62 : 91 ~ 95
4. [학술지(정기간행물)] - Berchtold R / 1983 / Chirurgie actuelle du goitre / Chirurg 109 : 187 ~ 199
5. [학술지(정기간행물)] - Foster Jr RS / 1978 / Morbidity and mortality after thyroidectomy / Surg gynecol Obstet 146 : 413 ~ 429
2. [학술지(정기간행물)] - Mishra A / 2001 / Total thyroidectomy for benign thyroid disorders in endemic region / World J Surg 25 : 307 ~ 310
3. [학술지(정기간행물)] - Khadra M / 1992 / Total thyroidectomy; its role in the management of thyroid disease / Aust N Z J Surg 62 : 91 ~ 95
4. [학술지(정기간행물)] - Berchtold R / 1983 / Chirurgie actuelle du goitre / Chirurg 109 : 187 ~ 199
5. [학술지(정기간행물)] - Foster Jr RS / 1978 / Morbidity and mortality after thyroidectomy / Surg gynecol Obstet 146 : 413 ~ 429
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