갑상선 수술에서 부갑상선을 보존하기 위한 수술 술기
Tips for Preservation of Parathyroid Gland During Thyroid Surgery
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초록
Failure to preserve parathyroid function in patients who have undergone total thyroidectomy is of major concernbecause hypocalcemia is difficult to prevent and remains a common postoperative complication. It is essentialto preserve not only the parathyroid glands themselves but also the vasculature around them to maintain theirfunction after thyroidectomy. In many cases, thyroid and parathyroid glands share the proximal section of theblood vessels supplying them. Therefore, we should try to separate as many vessels as possible from the thyroidcapsule and retain their connection to the parathyroid gland for preservation of its proper blood flow and function.
Abstract
Failure to preserve parathyroid function in patients who have undergone total thyroidectomy is of major concernbecause hypocalcemia is difficult to prevent and remains a common postoperative complication. It is essentialto preserve not only the parathyroid glands themselves but also the vasculature around them to maintain theirfunction after thyroidectomy. In many cases, thyroid and parathyroid glands share the proximal section of theblood vessels supplying them. Therefore, we should try to separate as many vessels as possible from the thyroidcapsule and retain their connection to the parathyroid gland for preservation of its proper blood flow and function.
참고문헌 (6)
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- Sitges-Serra A, "Parathyroid autotransplantation in thyroid surgery", Langenbecks Arch Surg, 403(3), pp.309~315 (2018)
