양성 갑상샘 결절의 수술적 치료에서 결절절제술의 임상적 의의
Clinical Significance of Nodulectomy in Surgical Treatment of Benign Thyroid Nodules
이동우, 김상효,
소속 상세정보
이동우 ( Lee Dong-Woo )
인제대학교 의과대학 부산백병원 외과학교실
김상효 ( Kim Sang-Hyo )
인제대학교 의과대학 부산백병원 외과학교실
KMID : 0356820060220020137
Abstract
Purpose : It has been generally accepted that lobectomy is a standard surgical procedure in treatment of benign thyroid nodules. However lobectomy may cause postoperative hypothyroidism. Most of surgeons believe that nodulectomy has its limitation in treatment of thyroid nodules due to recurrence of nodules and presence of cancer. The current study attempts to determine whether nodulectomy is justified in aspects of preservation of thyroid function, risk of recurrence and complications.
Methods : Data was collected retrospectively on 74 patients undergoing thyroidectomy(single nodulectomy, n=43;bilateral nodulectomies, n=9;lobectomy with nodulectomy, n=22) for benign thyroid nodules from 1999 to 2004. All patients were evaluated for complication, postoperative thyroid function, and recurrence of benign nodule and cancer were followed by regular ultrasonographic examination for 2-6 years.
Results : The pathologic results of 74 patients were nodular hyperplasia(55 patients), Hashimoto’s thyroiditis(8 patients), follicular adenoma(7 patients) and papillary carcinoma(4 patients). Average operation time was 30 minutes from skin incision to specimen out. In postoperative follow-up of 70 patients, six cases(8.5%) became mild hypothyroid, and ultrasonographically detected micronodule was also six cases(8.5%). There were no other complications.
Conclusion : Thyroid nodulectomy appears to have advantages of relatively few complication and simple procedure with no access to laryngeal nerves. Therefore, it may be one of treatment options in selected cases of benign thyroid nodules.
키워드
결절절제수술;결절 재발;갑상선 기능저하
Thyroid nodules;Nodulectomy;Recurrence;Hypothyroidism
원문 및 링크아웃 정보
등재저널 정보