CAJ | 학술논문

目的探讨腔镜辅助颈部小切口甲状腺手术对于甲状腺微小癌的可行性、临床效果.方法回顾性分析我院行腔镜辅助颈部小切口甲状腺术式切除甲状腺微小癌9例临床资料.结果除1例中转行开放手术外,余手术均获成功,术后皮下积液1例,切缘皮肤烧伤1例,无喉返神经损伤、出血、低血钙、喉上神经损伤等并发症;术后随访3～37个月,行甲状腺超声、CT、甲状腺核素扫描检查无复发、转移.结论对低危组、无颈部淋巴结转移的分化型甲状腺微小癌腔镜辅助颈部小切口甲状腺手术是安全、可行的,美容效果良好,可与传统手术治疗效果相同.
목적 탐토강경보조경부소절구갑상선수술대우갑상선미소암적가행성、림상효과.방법 회고성분석아원행강경보조경부소절구갑상선술식절제갑상선미소암9례림상자료.결과 제1례중전행개방수술외,여수술균획성공,술후피하적액1례,절연피부소상1례,무후반신경손상、출혈、저혈개、후상신경손상등병발증;술후수방3～37개월,행갑상선초성、CT、갑상선핵소소묘검사무복발、전이.결론 대저위조、무경부림파결전이적분화형갑상선미소암강경보조경부소절구갑상선수술시안전、가행적,미용효과량호,가여전통수술치료효과상동.
Objective To explore the feasibility and efficiency of minimally invasive video-assisted thy-roidectomy on thyroid microcarcinoma, and sum up the experiences. Methods 9 patients with thyroid microcarci-noma who underwent the minimally invasive video-assisted thyroidectomy from Jan 2006 to Feb 2009, were retro-spectively studied. Results All of the patients, except 1 case converting to open thyroidectomy, underwent the minimally invasive video-assisted thyroidectomy successfully. The subcutaneous hydrops occurred in 1 patient. The skin burns around the incisions occurred in 1 patient. There were no complications of recurrent laryngeal nerve injuries, neck hematoma, hypocalcemia, or superior laryngeal nerve injuries. The follow-up period of 15 cases were from 3 months to 37 months. There were no evidences of recurrence and metastasis by both postopera-five ultrasonic/CT examination and radioiodine scintigraphy. Conclusions The minimally invasive video-assisted thyroidectomy is safe and feasible (similar to the traditional thyroidectomy), of gratifying cosmetic results, for low-risk differentiated thyroid microcarcinoma without lymph node metastasis. For the median-risk or high-risk, more patients, comparative studies and long follow-ups are necessary to draw definitive conclusions in terms of its recurrence and survival rate.