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재발된 유두 갑상선암으로 완결갑상선절제술을 시행한 환자의 임상양상 및 수술합병증

Other Titles
 The Clinicopathological Features and Postoperative Complications of Completion Thyroidectomy for Recurrent Papillary Thyroid Carcinoma 
Authors
 김창우  ;  이소희  ;  유행랑  ;  이강영  ;  강상욱  ;  정종주  ;  남기현  ;  장항석  ;  정웅윤  ;  박정수 
Citation
 Korean journal of Endocrine Surgery (대한내분비외과학회지), Vol.9(3) : 161-166, 2009 
Journal Title
Korean journal of Endocrine Surgery(대한내분비외과학회지)
ISSN
 1598-1703 
Issue Date
2009
Keywords
Completion thyroidectomy ; Modified radical neck dissection ; Papillary thyroid carcinoma ; Clinicopathological features ; Postoperative complication
Abstract
Purpose: A completion thyroidectomy after less than total thyroidectomy is needed for the treatment of recurrent papillary thyroid carcinoma (PTC). The aim of this study is to evaluate the clinicopathological features and the postoperative complications of completion thyroidectomy for patients with recurrent PTC. Methods: A total 94 PTC patients who had undergone prior less than total thyroidectomy underwent completion thyroidectomy for recurrence from March 1986 to June 2009. We retrospectively analyzed the clinicopathological features and postoperative complications. Results: At the initial operation, the patients' mean age was 38.2 years old. Central node metastasis was found in 37 cases and extrathyroidal invasion was found in 12 cases. The mean interval time between the initial operation to the completion thyroidectomy was 76.6 months. Fifty six patients underwent completion thyroidectomy only and 38 underwent a completion thyroidectomy combined with a modified radical neck dissection. In the combined group, central neck node metastasis and extrathyroidal invasion at the time of the initial operation were significantly more frequent than those in the completion thyroidectomy only group. The postoperative complications were 14 cases of transient hypocalcemia and 8 cases of permanent hypocalcemia and there were no significant differences between the two groups. Conclusion: When performing completion thyroidectomy, it is important to check the lateral neck nodes for metastasis when central neck node metastasis or extrathyroidal invasion were present at the initial operation, and this can be done safely without severe complications even though it is combined with modified radical neck dissection.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Sang Wook(강상욱) ORCID logo https://orcid.org/0000-0001-5355-833X
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Cheong Soo(박정수)
Ryu, Haeng Rang(유행랑)
Lee, So Hee(이소희)
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Chung, Woong Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105517
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