CAJ | 학술논문

目的探讨甲状腺癌再次手术的技术要点,重点讨论手术入路与术式,喉返神经和甲状旁腺的保护及其并发症的预防.方法回顾性分析2000年1月至2007年12月127例甲状腺再次手术的临床资料,其中因甲状腺癌而再手术49例,对各种入路与术式及术后并发症进行分析.结果暂时性甲状旁腺功能低下率为4%,永久性甲状旁腺损伤率为2%,暂时性喉返神经损伤率为6,久性喉返神经损伤率为2%,术后再出血率为2%.结论甲状腺癌再次手术难度大,其成功实施的关键在于术中操作技巧.
목적 탐토갑상선암재차수술적기술요점,중점토론수술입로여술식,후반신경화갑상방선적보호급기병발증적예방.방법 회고성분석2000년1월지2007년12월127례갑상선재차수술적림상자료,기중인갑상선암이재수술49례,대각충입로여술식급술후병발증진행분석.결과 잠시성갑상방선공능저하솔위4%,영구성갑상방선손상솔위2%,잠시성후반신경손상솔위6,구성후반신경손상솔위2%,술후재출혈솔위2%.결론 갑상선암재차수술난도대,기성공실시적관건재우술중조작기교.
Objective To discuss the details of operative procedures, especially how to choose operative method and preserve recurrent laryngeal nerve and parathyroid gland and to decrease the clinical complications after reoperation of thyroid cancer. Methods The cliniacl data of 127 patients undergoing reoperation for thyroid disease from Jan. 2000 to Dec. 2007 were reviewed. In 49 patients with malignant thyroid diseases postoperative complications were observed. Results The rate of temporary and permanent laryngeal recurrent nerve injury were 6.12% (3/49) and 2.04% (1/49) respectively. The rate of temporary and permanent hypocalcemia were 4.08% (2/49) and 2.04% (1/49) respectively. Conclusions The thyroid cancer reoperation was more difficult and can seduced a high rate surgical complication. The thyroid cancer reopration can successfully be finished if the operators could pay attention to the operative skill.