CAJ | 학술논문

目的探讨内镜甲状腺切除术的可行性及其美容效果的评价.方法采用胸部乳晕入路或腋下入路行内镜甲状腺切除术183例,其中甲状腺腺瘤56例(1例伴甲亢),结节性甲状腺肿88例(5例伴腺瘤,2例伴甲亢),原发性甲状腺机能亢进25例,甲状腺癌14例.结果成功完成手术179例,一侧腺体全切术123例,一侧全切加对侧部分切除或次全切除56例.手术时间93 (45～280) min.中转开放手术4例.无神经、气管及甲状旁腺损伤等严重并发症.术后平均住院时间4 (3～8) d.术后随访1～38个月,3例复发,患者均对手术的美容效果满意.结论内镜甲状腺切除手术是一种安全、可行的手术方法,具有良好的美容效果.
목적 탐토내경갑상선절제술적가행성급기미용효과적평개.방법 채용흉부유훈입로혹액하입로행내경갑상선절제술183례,기중갑상선선류56례(1례반갑항),결절성갑상선종88례(5례반선류,2례반갑항),원발성갑상선궤능항진25례,갑상선암14례.결과 성공완성수술179례,일측선체전절술123례,일측전절가대측부분절제혹차전절제56례.수술시간93 (45～280) min.중전개방수술4례.무신경、기관급갑상방선손상등엄중병발증.술후평균주원시간4 (3～8) d.술후수방1～38개월,3례복발,환자균대수술적미용효과만의.결론 내경갑상선절제수술시일충안전、가행적수술방법,구유량호적미용효과.
Objective To sumarize the experience with endoscopic thyroidectomy. Methods Endoscopic thyroidectomy via the areola of breast approach or axillary approach was performed in 183 patients, including 56 patients with thyroid adenoma, 88 patients with nodular goiter, 25 patients with Graves'disease, and 14 patients with thyroid carcinoma. Results Endoscopic thyroidectomy was successfully performed in 179 patients including 123 receiving total thyroidectomy and 56 receiving total thyroidectomy plus partial or subtotal thyroidectomy, The operative time ranged from 45 to 280 min(mean 93 min). The operations was changed to open surgery in 4 patients. There were no complications such as damage to recurrent laryngeal nerve, bronchea or parathyroid glands. Postoperative hospital stay ranged from 3 to 8 days( mean 4 days). Follow-up for 1～38 months. showed recurrence in 3 patients. All of the patients were satisfied with cosmetic results.Conclusions Endoscopic thyroidectomy is a safe and effective method for thyroidectomy and with good cosmetic results.