Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients
정종주, 김규형, 고윤우, 남기현, 정웅윤, 박정수,
소속 상세정보
정종주 ( Jeong Jong-Ju )
Yonsei University College of Medicine Department of Surgery
김규형 ( Kim Kyu-Hyung )
Yonsei University College of Medicine Department of Surgery
고윤우 ( Koh Yoon-Woo )
Yonsei University College of Medicine Department of Otorhinolaryngology
남기현 ( Nam Kee-Hyun )
Yonsei University College of Medicine Department of Surgery
정웅윤 ( Chung Woong-Youn )
Yonsei University College of Medicine Department of Surgery
박정수 ( Park Cheong-Soo )
Yonsei University College of Medicine Department of Surgery
KMID : 0371320120830050267
Abstract
Purpose: The aim of this study was to compare the surgical completeness and outcome of total thyroidectomy in two patient groups: One treated by harmonic scalpel (HS) and one by conventional total thyroidectomy (CT).
Methods: Between March 2006 and December 2007, 104 patients had total thyroidectomy by HS and 108 patients underwent CT. We analyzed clinicopathological characteristics and stimulated serum thyroid-stimulating hormone (TSH), thyroglobulin (Tg), and anti-Tg antibodies at the time of ablation for both groups.
Results: Compared with the CT group, the HS group had shorter operating time and hospital stays and reduced postoperative drainage. At postsurgical ablation, mean serum TSH was 80.47 ± 21.77 mU/L in the HS group and 69.74 ± 21.17 mU/L in the CT group, with significant between-group differences (P < 0.001). Mean serum Tg levels after TSH stimulation were 1.57 ± 3.17 and 3.95 ± 10.14 ng/mL in the HS and CT groups, respectively, with significant between-group differences (P = 0.028).
Conclusion: Total thyroidectomy with an HS is a relatively safe and effective technique for use in patients with PTC. The HS provides surgical completeness and has a beneficial effect on successful ablation.
키워드
Harmonic scalpel; Papillary thyroid cancer; Thyroidectomy; Completeness; Ablation
원문 및 링크아웃 정보
등재저널 정보