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Comparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients

DC Field Value Language
dc.contributor.author강상욱-
dc.contributor.author남기현-
dc.contributor.author박정수-
dc.contributor.author성태연-
dc.contributor.author윤지섭-
dc.contributor.author이승철-
dc.contributor.author이용상-
dc.contributor.author장항석-
dc.contributor.author정웅윤-
dc.contributor.author정종주-
dc.date.accessioned2015-04-24T17:29:38Z-
dc.date.available2015-04-24T17:29:38Z-
dc.date.issued2009-
dc.identifier.issn0022-4790-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/105503-
dc.description.abstractBACKGROUND: The aim of this study was to evaluate and compare the early surgical outcomes of endoscopic and conventional open thyroidectomies in patients with papillary thyroid microcarcinoma (PTMC). METHODS: Between September 2005 and December 2007, 499 patients with PTMC were enrolled. 275 patients underwent gasless endoscopic thyroidectomy via the axillary route (endo group), and 224 patients underwent conventional open thyroidectomy (open group). We analyzed the patient's clinico-pathologic characteristics and surgical completeness between the two groups. RESULTS: The endo group was younger than the open group. The open group underwent more extensive surgery than the endo group. The operative time was longer in the endo group than the open group (138.5 +/- 49.0 min vs. 105.5 +/- 41.6 min; P < 0.0001), and a lesser number of lymph nodes were retrieved in the endo group compared to the open group (5.05 +/- 2.94 vs. 5.96 +/- 4.50, P = 0.007). We experienced complications in the endo group, such as transient hypocalcemia, transient RLN palsies, tracheal injuries, and esophageal injuries. There was no abnormal uptake on RAI scans in the two groups. From among patients who had undergone total thyroidectomy, all patients in the endo group had <1 ng/ml of serum Tg post-operatively; the seven patients in the open group had >1 ng/ml of serum Tg post-operatively. Tumor recurrence was detected in the open group only (n = 6). Also we checked the post-operative Tg in patients who had undergone lobectomy in the two groups, and found that there were no statistical differences in the two groups. CONCLUSIONS: According to our experience, gasless endoscopic thyroidectomy using a trans-axillary approach is a safe and feasible alternative to conventional open thyroidectomy in selected patients with PTMC-
dc.description.statementOfResponsibilityopen-
dc.format.extent477~480-
dc.relation.isPartOfJOURNAL OF SURGICAL ONCOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCarcinoma, Papillary/surgery*-
dc.subject.MESHEndoscopy*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLymph Node Excision/statistics & numerical data-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Recurrence, Local-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHThyroglobulin/blood-
dc.subject.MESHThyroid Neoplasms/surgery*-
dc.subject.MESHThyroidectomy/methods*-
dc.subject.MESHTime Factors-
dc.titleComparative study of endoscopic thyroidectomy versus conventional open thyroidectomy in papillary thyroid microcarcinoma (PTMC) patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorJONG JU JEONG-
dc.contributor.googleauthorSANG-WOOK KANG-
dc.contributor.googleauthorJI-SUP YUN-
dc.contributor.googleauthorTAE YON SUNG-
dc.contributor.googleauthorSEUNG CHUL LEE-
dc.contributor.googleauthorYONG SANG LEE-
dc.contributor.googleauthorKEE-HYUN NAM-
dc.contributor.googleauthorHANG SEOK CHANG-
dc.contributor.googleauthorWOONG YOUN CHUNG-
dc.contributor.googleauthorCHEONG SOO PARK-
dc.identifier.doi10.1002/jso.21367-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02929-
dc.contributor.localIdA01646-
dc.contributor.localIdA00032-
dc.contributor.localIdA01245-
dc.contributor.localIdA01957-
dc.contributor.localIdA02606-
dc.contributor.localIdA02978-
dc.contributor.localIdA03488-
dc.contributor.localIdA03674-
dc.contributor.localIdA03722-
dc.relation.journalcodeJ01762-
dc.identifier.eissn1096-9098-
dc.identifier.pmid19653245-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1002/jso.21367/abstract-
dc.subject.keywordendoscopic thyroid surgery-
dc.subject.keywordconventional open thyroid surgery-
dc.subject.keywordpapillary thyroid microcarcinoma-
dc.subject.keywordsurgical outcome-
dc.contributor.alternativeNameKang, Sang Wook-
dc.contributor.alternativeNameNam, Kee Hyun-
dc.contributor.alternativeNamePark, Cheong Soo-
dc.contributor.alternativeNameSung, Tae Yon-
dc.contributor.alternativeNameYun, Ji Sup-
dc.contributor.alternativeNameLee, Seung Chul-
dc.contributor.alternativeNameLee, Yong Sang-
dc.contributor.alternativeNameChang, Hang Seok-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.affiliatedAuthorLee, Seung Chul-
dc.contributor.affiliatedAuthorPark, Cheong Soo-
dc.contributor.affiliatedAuthorKang, Sang Wook-
dc.contributor.affiliatedAuthorNam, Kee Hyun-
dc.contributor.affiliatedAuthorSung, Tae Yon-
dc.contributor.affiliatedAuthorYun, Ji Sup-
dc.contributor.affiliatedAuthorLee, Yong Sang-
dc.contributor.affiliatedAuthorChang, Hang Seok-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.contributor.affiliatedAuthorJeong, Jong Ju-
dc.citation.volume100-
dc.citation.number6-
dc.citation.startPage477-
dc.citation.endPage480-
dc.identifier.bibliographicCitationJOURNAL OF SURGICAL ONCOLOGY, Vol.100(6) : 477-480, 2009-
dc.identifier.rimsid44313-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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