Endoscopic Thyroidectomy Via the Cervico-axillary Approach for Thyroid Cancer: Initial Experience in a Single Institute

안정신; 김현구; 백세현; 이준우; 우주현; 권형주; 임우성; 문병인; 백남선

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자료유형: 학술저널

저자정보: 안정신 김현구 백세현 이준우 우주현 권형주 임우성 문병인 백남선

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제17권 제1호

발행연도: 2017.1

수록면: 19 - 24 (6page)

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Purpose: Endoscopic thyroidectomy using a cervico-axillary approach (CAA) provides optimal visualization with a smaller dissection plane. Despite the excellent cosmetic results and high patient satisfaction, the surgical and oncologic safety of CAA endoscopic surgery has not been fully established. The present study evaluated the feasibility, safety, and surgical outcomes of CAA endoscopic thyroidectomy.Methods: From October 2009 to April 2012, 100 patients with papillary thyroid cancer underwent CAA endoscopic thyroidectomy. Patient demographics, pathologic features, and surgical outcomes including complications and recurrence were collected. Results: CAA endoscopic thyroidectomy was successful in all patients, and none required conversion to open thyroidectomy. All patients underwent ipsilateral thyroid lobectomy with or without central compartment neck dissection. The mean tumor size was 1.0±0.6 cm (range, 0.5∼1.6), and 35.0% of tumors showed extrathyroidal extension. The mean number of harvested lymph nodes was 4.1±4.4, and metastasis was found in 12.0% of patients. The mean surgical time was 175.2±50.4 min, mean intraoperative blood loss was 42.5±69.2 ml, and the mean hospital stay was 3.3±0.6 days. There were five cases of postoperative transient hypocalcemia and eight cases of vocal cord palsy. No permanent complication or postoperative bleeding was observed. Patients continued to be seen for a median period of 63.7 months, and no recurrence of thyroid cancer was seen.Conclusion: CAA endoscopic thyroidectomy is a feasible and safe procedure for low-risk thyroid cancer, with excellent cosmesis. It can be recommended as an alternative option for selected patients with low-risk thyroid cancer.

#Cervico-axillary approach #Endoscopic thyroidectomy #Thyroid neoplasms

참고문헌 (24)

참고문헌 신청

Bakkar S / 2016 / Track recurrence after robotic transaxillary thyroidectomy:a case report highlighting the importance of controlled surgical indications and addressing unpr

Chai YJ / 2016 / Surgical safety and oncological completeness of robotic thyroidectomy for thyroid carcinoma larger than 2 cm / Surg Endosc

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

Choi JY / 2012 / Endoscopic thyroidectomy via bilateral axillo-breast approach (BABA): review of 512 cases in a single institute / Surg Endosc 26 : 948 ~ 955

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

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