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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.91 No.1
- 발행연도
- 2016.6
- 수록면
- 1 - 7 (7page)
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초록· 키워드
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Purpose: Obesity is associated with a number of medical comorbidities and is considered a risk factor for surgical complications. The purpose of this study was to analyze the influence of body habitus including obesity on the surgical outcomes of the Bilateral axillo-breast approach (BABA) robotic thyroidectomy (RoT) in papillary thyroid carcinoma (PTC) patients.
Methods: The medical records of 456 PTC patients who underwent BABA RoT between January 2011 and December 2012 were reviewed, and 310 women PTC patients who had undergone BABA robotic total thyroidectomy with central lymph node dissection were examined. Body habitus were evaluated by measuring body mass index (BMI), body surface area, and neck circumference. We divided the patients into BMI < 25 kg/㎡ and BMI ≥ 25 kg/㎡ groups. Clinicopathological data, surgical outcomes, and postoperative complications were evaluated.
Results: Clinicopathological characteristics did not differ between the 2 BMI groups. The creation of working space time (P = 0.210) and other surgical outcomes showed no significant differences between the groups. There were no statistically significant differences between body habitus indexes and postoperative length of hospital stay, number of retrieved central lymph nodes, postoperative thyroglobulin levels, occurrence of hypoparathyoidism, recurrent laryngeal nerve injury and wound complication.
Conclusion: Patient with large body habitus undergoing BABA RoT were not at an increased risk of surgical complications and showed good surgical outcomes. BABA RoT may be a good alternative operative method for PTC patients for whom cosmetic outcome is an important consideration.
Methods: The medical records of 456 PTC patients who underwent BABA RoT between January 2011 and December 2012 were reviewed, and 310 women PTC patients who had undergone BABA robotic total thyroidectomy with central lymph node dissection were examined. Body habitus were evaluated by measuring body mass index (BMI), body surface area, and neck circumference. We divided the patients into BMI < 25 kg/㎡ and BMI ≥ 25 kg/㎡ groups. Clinicopathological data, surgical outcomes, and postoperative complications were evaluated.
Results: Clinicopathological characteristics did not differ between the 2 BMI groups. The creation of working space time (P = 0.210) and other surgical outcomes showed no significant differences between the groups. There were no statistically significant differences between body habitus indexes and postoperative length of hospital stay, number of retrieved central lymph nodes, postoperative thyroglobulin levels, occurrence of hypoparathyoidism, recurrent laryngeal nerve injury and wound complication.
Conclusion: Patient with large body habitus undergoing BABA RoT were not at an increased risk of surgical complications and showed good surgical outcomes. BABA RoT may be a good alternative operative method for PTC patients for whom cosmetic outcome is an important consideration.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
[학술지(정기간행물)] - 정규원 / 2013 / Cancer Statistics in Korea: Incidence, Mortality, Survival and Prevalence in 2010 / Cancer Research and Treatment 45 (1) : 1 ~ 14
[학술지(정기간행물)] - Pellegriti G. / 2013 / Worldwide increasing incidence of thyroid cancer : up date on epidemiology and risk factors / J Cancer Epidemiol 2013 : 965212 ~
[학술지(정기간행물)] - Davies L. / 2014 / Current thyroid cancer trends in the United States / JAMA Otolaryngol Head Neck Surg 140 : 31722 ~
[학술지(정기간행물)] - Lee KE. / 2011 / Bilateral axillobreast approach robotic thyroidectomy / Surg Laparosc Endosc Percutan Tech 21 : 230 ~ 236
[학술지(정기간행물)] - Lee KE. / 2013 / Robotic thyroidectomy by bilateral axillo-breast approach : review of 1, 026 cases and surgical completeness / Surg Endosc 27 : 2955 ~ 2962
[학술지(정기간행물)] - Pellegriti G. / 2013 / Worldwide increasing incidence of thyroid cancer : up date on epidemiology and risk factors / J Cancer Epidemiol 2013 : 965212 ~
[학술지(정기간행물)] - Davies L. / 2014 / Current thyroid cancer trends in the United States / JAMA Otolaryngol Head Neck Surg 140 : 31722 ~
[학술지(정기간행물)] - Lee KE. / 2011 / Bilateral axillobreast approach robotic thyroidectomy / Surg Laparosc Endosc Percutan Tech 21 : 230 ~ 236
[학술지(정기간행물)] - Lee KE. / 2013 / Robotic thyroidectomy by bilateral axillo-breast approach : review of 1, 026 cases and surgical completeness / Surg Endosc 27 : 2955 ~ 2962
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UCI(KEPA) : I410-ECN-0101-2017-514-001019574