CAJ | 학술논문

目的：探讨经乳晕入路腔镜甲状腺切除术常见并发症的原因及处理方法，总结防治经验，使该手术方式更加安全。方法回顾性分析自2012年5月1日至2013年4月30日对416例需行甲状腺切除术患者行经乳晕入路腔镜甲状腺切除术的术中及术后并发症。结果416例患者中，415例成功在腔镜下完成手术。术中除3例出血（1例转为开放）外，无严重并发症；术后主要并发症为暂时性甲状旁腺功能低下、一过性声音嘶哑、颈胸部皮肤发紧、脑循环紊乱综合征等，无永久性甲状旁腺功能低下、喉返神经损伤。结论经乳晕入路腔镜甲状腺切除术是一种安全而可行的手术方法，熟悉甲状腺的解剖结构，熟练的腔镜操作技术，认真仔细的手术操作可以降低并发症发生率。
목적：탐토경유훈입로강경갑상선절제술상견병발증적원인급처리방법，총결방치경험，사해수술방식경가안전。방법회고성분석자2012년5월1일지2013년4월30일대416례수행갑상선절제술환자행경유훈입로강경갑상선절제술적술중급술후병발증。결과416례환자중，415례성공재강경하완성수술。술중제3례출혈（1례전위개방）외，무엄중병발증；술후주요병발증위잠시성갑상방선공능저하、일과성성음시아、경흉부피부발긴、뇌순배문란종합정등，무영구성갑상방선공능저하、후반신경손상。결론경유훈입로강경갑상선절제술시일충안전이가행적수술방법，숙실갑상선적해부결구，숙련적강경조작기술，인진자세적수술조작가이강저병발증발생솔。
Objective?To?investigate?the?prevention?and?treatment?of?complications?during?or?after?endoscopic?thyroidectomy?via?breast?approach,make?the?operation?more?safer.?Methods?416?patients?who??were?needed?thyroidectomy?underwent?endoscopic?thyroidectomy?via?breast?approach?between?May?1st,?2012?and?April?30th,?2013.?The?complications?of?those?cases?were?retrospectively?analyzed.?Results?The?416?patients,?415?cases?of?successful?underwent?the?endoscopic?to?complete?the?operations.?There?was?no?serious?complications?occurred?during?the?procedures?except?3?cases?bleeding?seriously(1?case?was?converted?to?open?surgery).?The?main?postoperative?complications?included?temporary?low?parathyroid?function,?transient?hoarseness,?neck?and?chest?skin?tightening?feeling,?cerebral?circulation?disorder?syndrome.?There?are?no?perpetual?low?parathyroid?function?and?laryngeal?nerve?injury.?Conclusions?Endoscopic?thyroidectomy?via?breast?approach?is?a?safe?and?feasible?operation.?It?is?important?for?surgeon?to?have?detailed?acknowledgement?in?the?anatomy?of?thyroid?gland,?skillful?manipulation?of?procedure?in?preventing?and?decreasing?the?complications?of?endoscopic?thyroidectomy?via?breast?approach.