Comparative Study of Unilateral Axillo-Breast Approach with Gas Insufflation Versus Gasless Transaxillary Approach for Endoscopic Thyroidectomy in a Single Institute

최익준; 김남영; 김경헌; 이병철; 이국행; 이명철

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자료유형: 학술저널

저자정보: 최익준 김남영 김경헌 이병철 이국행 이명철

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제12호

발행연도: 2016.1

수록면: 848 - 855 (8page)

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Background and Objectives There have been various approaches introduced for endoscopic thyroidectomy. This study evaluates and compares the surgical outcomes of two such approaches: the unilateral axillo-breast approach (UABA) with gas and the gasless transaxillary approach (TA). Subjects and Method We retrospectively analyzed 279 patients who underwent endoscopic thyroidectomy via UABA with gas or gasless TA from March 2008 to August 2012. Studied variables were clinicopathologic data, surgical outcomes, complications, and cosmetic satisfactions. Results Of the 279 patients, 195 (69.9%) underwent UABA with gas and 84 (30.1%) underwent gasless TA. All of the variables related to clinicopathologic characteristics showed no significant differences between the two groups. The mean operation time was significantly shorter in the UABA with gas group (131.76±44.37 min) than in the gasless TA group (191.01± 55.90 min) (p＜0.001). The mean postoperative pain Visual Analogue Scale scores in the UABA with gas group were 2.61±0.96 and 1.85±0.79, respectively, and those in the gasless TA group were 3.12±1.02 and 2.17±0.76, respectively, at 1 and 3 days after surgery. Incidences of postoperative complications were similar except for the higher rate of seroma in the gasless TA group. Cosmetic satisfaction scores of UABA with gas were higher than those of the gasless TA. Conclusion UABA with gas may be a good option for endoscopic thyroidectomy because this approach is less invasive than the gasless TA is. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(12):848-55

#Endoscopy ㆍSurgery ㆍThyroidectomy.

참고문헌 (24)

참고문헌 신청

Gagner M / 1996 / Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism / Br J Surg 83(6):875

Hüscher CS / 1997 / Endoscopic right thyroid lobectomy / Surg Endosc 11(8):877

Ohgami M / 2000 / Scarless endoscopic thyroidectomy : breast approach for better cosmesis / Surg Laparosc Endosc Percutan Tech 10(1):1~4

Miccoli P / 2002 / Minimally invasive video-assisted thyroidectomy : multiinstitutional experience / World J Surg 26(8):972~975

Park YL / 2003 / 100 cases of endoscopic thyroidectomy : breast approach / Surg Laparosc Endosc Percutan Tech 13(1):20~25

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