양측 액와유방 접근법과 개방성 접근법과의 비교를 통한 일측 액와유방 접근 내시경 갑상선 전 절제술과 중심 경부 절제술의 수술적 완전성에 대한 평가

최익준; 임일한; 이병철; 이국행; 이명철

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자료유형: 학술저널

저자정보: 최익준 임일한 이병철 이국행 이명철

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제12호

발행연도: 2018.1

수록면: 697 - 701 (5page)

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연구배경

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연구방법

🏆

연구결과

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Background and Objectives The aim of this study was to evaluate surgical completeness inendoscopic total thyroidectomy with central neck dissection via unilateral axillo-breast approach(UABA) compared with bilateral axillo-breast (BABA) and open approach (OA) by means ofthe radioactive iodine uptake (RAIU) ratio and thyroglobulin (Tg) of remnant thyroid. Subjects and Method From July 2010 to March 2013, 82 patients who had underwent totalthyroidectomy with central neck dissection and postoperative radioactive iodine (RAI) ablationfor papillary thyroid carcinoma were enrolled. Of these patients, 27 patients underwent UABA,24 patients BABA, and 31 patients OA. Clinicopathologic data, surgical outcome, stimulated Tgand RAIU ratio on the first postoperative RAI ablation scan were compared among 3 groups. Results Patients in the endoscopic surgery groups (UABA, BABA) were younger than thosein the OA groups. Invasiveness such as operation time, postoperative pain, and drain amount inUABA was less than that in BABA and severer than that in OA. Other variables regarding clinicopathologicand surgical data were not significantly different. Stimulated Tg and RAIU ratiodid not show significant differences among 3 groups (p=0.659 and p=0.664). Conclusion The completeness of UABA was comparable with that of BABA and OA. TheUABA may be a safe option for patients who need endoscopic thyroidectomy for papillarythyroid carcinoma.

참고문헌 (21)

참고문헌 신청

Sanabria A / 2018 / Growing incidence of thyroid carcinoma in recent years: factors underlying overdiagnosis / Head Neck 40(4):855~866

정규원 / 2017 / Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2014 / Cancer Research and Treatment 49(2):292~305

Kitagawa W / 2003 / Endoscopic neck surgery with lymph node dissection for papillary carcinoma of the thyroid using a totally gasless anterior neck skin lifting method / J Am Coll Surg 196(6):990~994

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

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