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Nationwide Multicenter Survey for Current Status of Endoscopic Thyroidectomy in Korea

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초록

Objectives. We evaluated the current status of endoscopic thyroidectomy procedures in Korea in terms of indications, contraindications, advantages, disadvantages, complications, and limitations of each approach. Methods. An email survey, consisting of 15 questions, was sent to 29 experienced endoscopic thyroidectomy surgeons. Results. The most commonly used approach was the gasless transaxillary approach (66.7%), followed by the bilateral axillo-breast approach with gas insufflation (23.8%). The most common indication was less than 1 cm, single papillary thyroid cancer. The role of endoscopic thyroidectomy is not still established; some consider it a novel procedure (34.8%), others a transition to robotic thyroidectomy (34.8%). Conclusion. Our results shed light on the general consensus of opinions about endoscopic thyroidectomy, such as the advantages, disadvantages, complications, limitations, and even its future role.

Abstract

Objectives. We evaluated the current status of endoscopic thyroidectomy procedures in Korea in terms of indications, contraindications, advantages, disadvantages, complications, and limitations of each approach. Methods. An email survey, consisting of 15 questions, was sent to 29 experienced endoscopic thyroidectomy surgeons. Results. The most commonly used approach was the gasless transaxillary approach (66.7%), followed by the bilateral axillo-breast approach with gas insufflation (23.8%). The most common indication was less than 1 cm, single papillary thyroid cancer. The role of endoscopic thyroidectomy is not still established; some consider it a novel procedure (34.8%), others a transition to robotic thyroidectomy (34.8%). Conclusion. Our results shed light on the general consensus of opinions about endoscopic thyroidectomy, such as the advantages, disadvantages, complications, limitations, and even its future role.

참고문헌 (12)

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  2. 박기남, "Nationwide Multicenter Survey for Current Status of Endoscopic Thyroidectomy in Korea", Clinical and Experimental Otorhinolaryngology, 8(2), pp.149~154 (2015), 대한이비인후과학회[DOI]
  3. Lee MC, "New endoscopic thyroidectomy via a unilateral axillo-breast approach with gas insufflation: Preliminary report", Head Neck, 35(4), pp.471~476 (2013)
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  6. Park YL, "00 cases of endoscopic thyroidectomy: breast approach", Surg Laparosc Endosc Percutan Tech, 13(1), pp.20~25 (2003)
  7. Yoon JH, "Gasless endoscopic thyroidectomy via an axillary approach: experience of 30 cases", Surg Laparosc Endosc Percutan Tech, 16(4), pp.226~231 (2006)
  8. Choe JH, "Endoscopic thyroidectomy using a new bilateral axillo-breast approach", World J Surg, 31(3), pp.601~606 (2007)
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  10. Tae K, "Initial experience with a gasless unilateral axillo-breast or axillary approach endoscopic thyroidectomy for papillary thyroid microcarcinoma: comparison with conventional open thyroidectomy", Surg Laparosc Endosc Percutan Tech, 21(3), pp.162~169 (2011)
  11. 이형신, "Patterns of Post-thyroidectomy Hemorrhage", Clinical and Experimental Otorhinolaryngology, 2(2), pp.72~77 (2009), 대한이비인후과학회
  12. 최세준, "Is Routine Central Neck Dissection Necessary for the Treatment of Papillary Thyroid Microcarcinoma?", Clinical and Experimental Otorhinolaryngology, 1(1), pp.41~45 (2008), 대한이비인후과학회

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