The current status of endoscopic thyroidectomy in Korea

被引:33
作者
Bae, Ja Seong [1 ]
Cho, Young Up [2 ]
Sung, Gi Young
Oh, Se Jeong [1 ]
Jung, Eun Jung [1 ,3 ]
Lee, Jae Bok [4 ]
Kim, Tae Hyun [5 ]
Nam, Kee-Hyun [6 ]
Chung, Woong Youn [6 ]
Yoon, Jung Han [7 ]
Kim, Lee Su [8 ]
Park, Yong Lai [9 ]
Kim, Jung Han [9 ]
Moon, Byung In [10 ]
Lee, Jong Riul [11 ]
Lee, Byoung Un [12 ]
Kim, Jee-Soo [13 ]
Yoon, Jong Ho [8 ]
Kim, Je Ryong [14 ]
Soh, Euy Young [15 ]
Youn, Yeo Kyu [16 ]
Park, Cheong Soo [6 ]
Kim, Jeong Soo [1 ]
机构
[1] Catholic Univ Korea, Dept Surg, Seoul, South Korea
[2] Inha Univ, Dept Surg, Inchon, South Korea
[3] Gyeongsang Natl Univ, Dept Surg, Chinju, South Korea
[4] Korea Univ, Dept Surg, Seoul, South Korea
[5] Inje Univ, Dept Surg, Gyeongnam, South Korea
[6] Yonsei Univ, Dept Surg, Seoul 120749, South Korea
[7] Chonnam Natl Univ, Dept Surg, Kwangju, South Korea
[8] Hallym Univ, Dept Surg, Chunchon, South Korea
[9] Sungkyunkwan Univ, Dept Surg, Seoul, South Korea
[10] Ewha Womans Univ, Dept Surg, Seoul, South Korea
[11] Cheongju St Marys Hosp, Dept Surg, Cheongju, South Korea
[12] Changwon Fatima Hosp, Dept Surg, Chang Won, South Korea
[13] Konkuk Univ, Dept Surg, Seoul, South Korea
[14] Chungnam Natl Univ, Dept Surg, Taejon, South Korea
[15] Ajou Univ, Dept Surg, Suwon 441749, South Korea
[16] Seoul Natl Univ, Dept Surg, Seoul 151, South Korea
关键词
endoscopic thyroidectomy; thyroid neoplasm;
D O I
10.1097/SLE.0b013e31816907d0
中图分类号
R61 [外科手术学];
学科分类号
摘要
We investigate the current status of endoscopic thyroidectomy in Korea. A representative questionnaire was sent to 21 members of the Korean Association of Endocrine Surgeons who were thought to be performing endoscopic thyroidectomy. All the reply letters were collected and analyzed. The response rate was 95%. A total of 1616 cases of endoscopic thyroidectomy were performed from the year 1998 to the year 2005. The patients included 71 men and 1545 women, with a mean age of 36.17 years. The mean operation time was 124.18 minutes and, overall length of hospital stay was 4.31 days. Thyroid lobectomy and nodular hyperplasia were the most common procedures and prominent pathologic findings. Axillary approach was the most popular operative approach method. Gas insufflation and skin-lifting gasless method were used in 800 cases and 816 cases, respectively. Postoperative complication rate was 14.2%. Skin paresthesia was the most common complication. Conversion rate to conventional thyroidectomy was 2.2%. Korean experiences show that endoscopic thyroidectomy is a technically safe and feasible procedure. It is considered to be an important Surgical tool that can be further progressed and that also has an excellent potential in a management of thyroid neoplasm.
引用
收藏
页码:231 / 235
页数:5
相关论文
共 21 条
[1]   Total video endoscopic thyroidectomy by an axillary approach [J].
Chantawibul, S ;
Lokechareonlarp, S ;
Pokawatana, C .
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A, 2003, 13 (05) :295-299
[2]  
CHUNG YS, 2007, WORLD J SURG, V14
[4]   Endoscopic thyroidectomy for solitary thyroid nodules [J].
Gagner, M ;
Inabnet, WB .
THYROID, 2001, 11 (02) :161-163
[5]   Massive subcutaneous emphysema and severe hypercarbia in a patient during endoscopic transcervical parathyroidectomy using carbon dioxide insufflation [J].
Gottlieb, A ;
Sprung, J ;
Zheng, XM ;
Gagner, M .
ANESTHESIA AND ANALGESIA, 1997, 84 (05) :1154-1156
[6]   Clinical benefits in endoscopic thyroidectomy by the axillary approach [J].
Ikeda, Y ;
Takami, H ;
Sasaki, Y ;
Takayama, J ;
Niimi, M ;
Kan, S .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2003, 196 (02) :189-195
[7]   Endoscopic thyroidectomy and parathyroidectomy by the axillary approach - A preliminary report [J].
Ikeda, Y ;
Takami, H ;
Niimi, M ;
Kan, S ;
Sasaki, Y ;
Takayama, J .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2002, 16 (01) :92-95
[8]   Minimally invasive endoscopic thyroidectomy by a cervical approach - Early vessel ligation decreases the duration of surgery [J].
Inabnet, WB ;
Jacob, BP ;
Gagner, M .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2003, 17 (11) :1808-1811
[9]   Clinical evaluation of gasless endoscopic thyroid surgery [J].
Inukai, M ;
Usui, Y .
SURGERY TODAY, 2005, 35 (03) :199-204
[10]  
Kataoka H, 2002, BIOMED PHARMACOTHER, V56, p68S