액와접근법을 통한 내시경 갑상선 절제술의 임상적 고찰
A Clinical Analysis of Endoscopic Thyroidectomy by the Axillary Approach
소속 상세정보
임진호/Jin Ho Lim
박일영/김욱/성기영/백종민/신동준/이도상/원종만/Il Young Park/Wook Kim/Gi Young Sung/Jong Min Baek/Dong Joon Shin/Do Sang Lee/Jong Man Won
KMID : 0978820020050010061
Abstract
Purpose: The thyroid surgery has recently become one of the newest fields for the application of endoscopic surgery. Still, some patients complained of even a small scar on the neck. We therefore have applied a new technique of an
endoscopic
thyroidectomy by the axillary approach that leaves no scar on the neck at all.
Method: This clinical trial was conducted on a total of 17 patients. Operation method is follows: About 3-4㎝ sized incision is made on the idsilateral axilla along the skin crease and the subcutaneous flap is made by blunt dissction. 10㎜
and
5㎜ trocars are inserted via this incision and CO2 gas is insufflated. Another 5㎜ trocar is inserted at the upper chest, laterally. After more dissection, the strap muscles and the parenchyma of the gland dissected and divided using a ultrasnoic
scalped and a electrocautery.
Results: 2 of 17 cases were converted to open thyroidectomy because of uncontrolled bleeding. All the successful patients are young women and their mean age was 30. The operation time was 178 71(100-295) minutees and the post-operative
hospital
stay was 3.6 0.6(3-5) days. Post-operative complications are in 1 case of recurrent laryngeal nerve injury, 1 case of a minimal hematoma, and 3 cases of temporary swallowing difficulties.
Conclusions: This operative procedure resulted good cosmetic effects and there was no difficulty in operative procedure. But the long operation time and hospital stay remain to be overcome.
키워드
내시경 갑상선 절제술; 액와부 접근법; endoscopic thyroidectomy; axillary approach;
원문 및 링크아웃 정보
등재저널 정보