갑상선 유두암에서 BABA 내시경 갑상선 절제술에 대한 임상적 고찰

천보성; 김재홍; 박경식; 배수연; 정성일; 유영범; 양정현; 윤여규; 오승근

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자료유형: 학술저널

저자정보: 천보성 김재홍 박경식 배수연 정성일 유영범 양정현 윤여규 오승근

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제11권 제3호

발행연도: 2011.1

수록면: 158 - 163 (6page)

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Purpose: The aim of this study was to evaluate the operative feasibility and safety of endoscopic thyroidectomy via bilateral axillo breast approach (BABA) compared to conventional thyroidectomy in papillary thyroid carcinoma (PTC) patients. Methods: From July 2009 to November 2010, patients underwent BABA endoscopic thyroidectomy (ET group; n=41) or conventional open thyroidectomy (OT group; n=61) for PTC. Clinical and pathologic characteristics of patients, operation time, post-operative complications, cosmetic satisfaction and thyroglobulin (TG) level were analyzed retrospectively. 책임저자 : 박경식, 서울시 광진구 화양동 4-12󰂕143-729, 건국대학교병원 외과Tel: 02-2030-7697, Fax: 02-2030-7749E-mail: kspark@kuh.ac.kr 접수일：2011년 7월 21일, 수정일：2011년 9월 4일,게재승인일：2011년 9월 6일Results: The mean age of the patients was 40.05±9.58 years (range 25∼61 years) and 46.21±13.68 years (range 19∼79 years) for the ET and OT group, respectively. The operative extent in the ET group did not include advanced thyroid cancer or lateral neck dissection. The size of the tumor was 0.78±0.59 cm (range 0.1∼3.00 cm) and 1.54 ±1.05 cm (range 0.3∼6.00 cm) for the ET and OT group, respectively. Extrathyroidal extension and number of retrieved lymph nodes were significantly higher in the OT group. Postoperative radioactive iodine ablation was performed on 25 patients (72.43%) in the ET group and 48 patients (78.69%) in the OT group. There was no abnormal uptake on radioactive iodine scans in the iodine-treated patients and no significant differences in postoperative off-T4 TG levels between the two groups. There were no significant differences in operative time, amount of drainage, postoperative hospitalization period, hypocalcemia, and vocal cord palsy between the two groups. Cosmetic results of ET group were rated as excellent in a 3-month postoperative questionnaire by 25 (72.43%) of 35 patients. Conclusion: Endoscopic thyroidectomy via the bilateral axillo breast approach can be a feasible and effective option for PTC in selected cases. (Korean J Endocrine Surg 2011;11:158-163)

#양측 액와유륜부 접근법 #내시경 갑상선 절제술 #유두상 갑상선암 #Bilateral axillo breast approach #Endoscopic thyroidectomy #Papillary thyroid carcinoma

참고문헌 (24)

참고문헌 신청

Bellantone R / 2002 / Central neck lymph node removal during minimally invasive video-assisted thyroidectomy for thyroid carcinoma: a feasible and safe procedure / J Laparoe

Berti P / 2004 / Video-assisted thyroidectomy for Graves' disease: report of a preliminary experience / Surg Endosc 18 : 1208 ~ 1210

Cady B / 1998 / Papillary carcinoma of the thyroid gland: treatment based on risk group definition / Surg Oncol Clin N Am 7 : 633 ~ 644

Chao TC / 2004 / Gasless video-assisted total thyroidectomy in the treatment of low risk intrathyroid papillary carcinoma / World J Surg 28 : 876 ~ 879

Cooper DS / 2009 / American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Revised American thyroid association managem