측경부 최소침습절개술을 이용한 갑상선 일엽절제술의 효용성
The Feasibility of Lateral Minimal Invasive Open Thyroid Lobectomy
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초록
Purpose: Minimal invasive open thyroidectomy is one option for minimal invasive surgery. The population of planned unilateral lobectomy is on the rise in parallel to the increased incidence of confined papillary thyroid microcarcinomas in Korea. In contrast to other minimal invasive modalities, few studies have examined the surgical outcome of minimal invasive open thyroidectomy. This study compared the lateral minimal invasive open thyroid lobectomy with conventional surgery and endoscopic surgery in terms of the feasibility and safety. Methods: A retrospective study was performed on 197 patients undergoing a thyroid lobectomy between January 2001 and December 2010. One hundred and three patients underwent a lateral minimal invasive open thyroid lobectomy, 42 patients underwent conventional surgery, and 44 patients underwent endoscopic surgery. Results: The hospitalization period with endoscopic surgery was 6.2 days, which was longer than the 5.3 days with a lateral minimal invasive open thyroid lobectomy (P=0.000). The surgical time was lower in those who underwent a lateral minimal invasive open thyroid lobectomy (88.2 minutes) than in those who underwent conventional surgery (107 minutes, P=0.000) or endoscopic surgery (124.1 minutes, P=0.000). In the patients with a diagnosis of malignancy, the mean number of retrieved LNs was similar in the three groups. Conclusion: A lateral minimal invasive open thyroid lobectomy offers advantages, such as a shorter surgical time and hospitalization period than others. This procedure can be a feasible alternative to the conventional or endoscopic approach in selected patients undergoing thyroid lobectomy.
Abstract
Purpose: Minimal invasive open thyroidectomy is one option for minimal invasive surgery. The population of planned unilateral lobectomy is on the rise in parallel to the increased incidence of confined papillary thyroid microcarcinomas in Korea. In contrast to other minimal invasive modalities, few studies have examined the surgical outcome of minimal invasive open thyroidectomy. This study compared the lateral minimal invasive open thyroid lobectomy with conventional surgery and endoscopic surgery in terms of the feasibility and safety. Methods: A retrospective study was performed on 197 patients undergoing a thyroid lobectomy between January 2001 and December 2010. One hundred and three patients underwent a lateral minimal invasive open thyroid lobectomy, 42 patients underwent conventional surgery, and 44 patients underwent endoscopic surgery. Results: The hospitalization period with endoscopic surgery was 6.2 days, which was longer than the 5.3 days with a lateral minimal invasive open thyroid lobectomy (P=0.000). The surgical time was lower in those who underwent a lateral minimal invasive open thyroid lobectomy (88.2 minutes) than in those who underwent conventional surgery (107 minutes, P=0.000) or endoscopic surgery (124.1 minutes, P=0.000). In the patients with a diagnosis of malignancy, the mean number of retrieved LNs was similar in the three groups. Conclusion: A lateral minimal invasive open thyroid lobectomy offers advantages, such as a shorter surgical time and hospitalization period than others. This procedure can be a feasible alternative to the conventional or endoscopic approach in selected patients undergoing thyroid lobectomy.
참고문헌 (19)
- Alvarado R, "Minimally invasive thyroid surgery for single nodules: an evidence-based reviewof the lateral mini-incision technique", World J Surg, 32, pp.1341~1348 (2008)
- Kazi R, "Minimal access thyroidsurgery - a new dawn?", Ann R Coll Surg Engl, 92, pp.361~362 (2010)
- 안화영, "우리나라 갑상선암의 발생 현황 및 특징", 대한내과학회지, 77(5), pp.537~542 (2009), 대한내과학회
- Kyu-Won Jung, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2009", Cancer Research and Treatment, 44(1), pp.11~24 (2012), 대한암학회
- 이가희, "대한갑상선학회 갑상선결절 및 암 진료 권고안 개정안", 대한내분비학회지, 25(4), pp.270~297 (2010), 대한내분비학회
- Cooper DS, "Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer", Thyroid, 19, pp.1167~1214 (2009)
- 최종욱, "갑상선 내시경 절제술: 액와부 접근법", 대한이비인후과학회지 두경부외과학, 49(5), pp.527~531 (2006), 대한이비인후과학회
- Sywak MS, "A randomized controlled trial of minimally invasive thyroidectomy using the lateral direct approach versus conventional hemithyroidectomy", Surgery, 144, pp.1016~1021 (2008)
- Bellantone R, "Video-assisted vs conventional thyroid lobectomy: a randomized trial", Arch Surg, 137, pp.301~304 (2002)
- Cavicchi O, "Minimally invasive nonendoscopic thyroidectomy", Otolaryngol Head Neck Surg, 135, pp.744~747 (2006)
- Lombardi CP, "Video-assisted thyroidectomy: report of a 7-year experience in Rome", Langenbecks Arch Surg, 391, pp.174~177 (2006)
- Terris DJ, "Prospective evaluation of endoscopic approaches to the thyroid compartment", Laryngoscope, 114, pp.1377~1382 (2004)
- Terris DJ, "Minimally invasive thyroidectomy using the Sofferman technique", Laryngoscope, 115, pp.1104~1108 (2005)
- Perigli G, "Clinical benefits of minimally invasive techniques in thyroid surgery", World J Surg, 32, pp.45~50 (2008)
- Brunaud L, "Incision length for standard thyroidectomy and parathyroidectomy: when is it minimally invasive?", Arch Surg, 138, pp.1140~1143 (2003)
- Ym JH, "Re-defining the modern standard for open thyroidectomy", Program and abstract of the 73rd Annual Meeting of the American Thyroid Association (2001)
- Ferzli GS, "Minimally invasive, nonendoscopic thyroid surgery", J Am Coll Surg, 192, pp.665~668 (2001)
- Rafferty M, "Minimal incision for open thyroidectomy", Otolaryngol Head Neck Surg, 135, pp.295~298 (2006)
- Henry JF, "Minimally invasive thyroid and parathyroid surgery is not a question of length of the incision", Langenbecks Arch Surg, 393, pp.621~626 (2008)