수술 전 위험도 분류에 따른 갑상선 유두암 치료 시 내시경 갑상선 절제술과 고식적 갑상선 절제술의 비교분석

강병준; 박경식; 서수연; 김근영; 조민정; 유영범; 양정현

추천

검색

자료유형: 학술저널

저자정보: 강병준 박경식 서수연 김근영 조민정 유영범 양정현

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제13권 제2호

발행연도: 2013.1

수록면: 87 - 91 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: It is well known that papillary thyroid cancer (PTC) has a good prognosis and high incidence in young women. The objective of the study was to review our criteria to select surgical modality and surgical results and to confirm the feasibility of endoscopic thyroidectomy according to the preoperative risk stratification in the treatment of papillary thyroid cancer. Methods: Between May 2009 and April 2012, 197 patients underwent either a conventional open or an endoscopic thyroidectomy with the preoperative consideration of risk group using clinical parameters of AMES system (patient age, size of tumor, extrathyroid extension, and presence of distant metastasis). A retrospective analysis of the pathologic data according to AMES system after surgery was also conducted. The endoscopic thyroidectomy was performed using the BABA (bilateral axillo-breast approach) method. Results: Based on the method of operation, the low-risk group patients (n=197) were divided into two groups: endoscopic group (n=78) and open group (n=119). Procedure time, postoperative complication rates, and length of hospital stay were tracked, albeit these were not significantly different between the two groups. From the pathologic findings, it was reported that there were no significant differences in tumor size, extrathyroid extension, and metastasis and also in the Off T4 – thyroglobulin level between the two groups. Conclusion: Endoscopic thyroidectomy is a feasible method for the treatment of selected cases of thyroid cancer such as low-risk group according to the appropriate preoperative risk stratification.

#갑상선암 #내시경 갑상선 절제술 #위험도 분류 #Thyroid cancer #Endoscopic thyroidectomy #Risk stratification

참고문헌 (24)

참고문헌 신청

[학술

American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer / 2009 / Revised American Thyroid Association management guidelin

Bilimoria KY / 2007 / Talamonti MS, et al. Extent of surgery affects survival for papillary thyroid cancer / Ann Surg 246 : 375 ~ 381

Cady B / 1988 / An expanded view of risk-group definition in differentiated thyroid carcinoma / Surgery 104 : 947 ~ 953

Choe JH / 2007 / Endoscopic thyroidectomy using a new bilateral axillo-breast approach / World J Surg 31 : 601 ~ 606