Cited 31 times in
Single-Incision, Gasless, Endoscopic Trans-Axillary Total Thyroidectomy: A Feasible and Oncologic Safe Surgery in Patients with Papillary Thyroid Carcinoma
DC Field | Value | Language |
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dc.contributor.author | 이초록 | - |
dc.contributor.author | 정종주 | - |
dc.contributor.author | 남기현 | - |
dc.contributor.author | 정웅윤 | - |
dc.date.accessioned | 2023-08-09T02:44:01Z | - |
dc.date.available | 2023-08-09T02:44:01Z | - |
dc.date.issued | 2017-11 | - |
dc.identifier.issn | 1092-6429 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/195787 | - |
dc.description.abstract | Background: The aim of this study is to compare the feasibility and oncologic safety of Single-incision, gasless, Endoscopic trans-axillary bilateral Total thyroidectomy (SET) with open cervical total thyroidectomy in patients with papillary thyroid carcinoma (PTC). Materials and methods: From March 2008 to December 2012, PTC patients underwent bilateral total thyroidectomy. Conventional, open surgery was performed on 538 patients (Group O) and endoscopic surgery was performed on 200 patients (Group E). We analyzed the patient's clinicopathologic, postoperative complications, and surgical completeness. Results: The mean ages of the patients were 48.9 ± 0.5 (range = 24-77) in Group O and 39.5 ± 0.8 (range = 17-73) in Group E with statistical significance (P < .001). Percentage of female patients were 74.3% in Group O and 96.0% in Group E with statistical significance (P < .001). The postoperative hospital stay in Group O was significantly longer than Group E (4.60 ± 0.05 versus 3.30 ± 0.05; P < .001). The operation time in Group E was significantly longer than Group O (93.9 ± 1.3 versus 142.6 ± 3.3; P < .001). More transient hypocalcemia was found in Group O compared to Group E with statistical significance (28.1% versus 22.4%; P < .001). There were no significant differences with respect to permanent hypocalcemia, permanent recurrent laryngeal nerve palsy, seroma, and hematoma. The mean 1 year-stimulated sTg was 0.23 ± 0.03 and 0.18 ± 0.02 in Group O and E, respectively. Tumor recurrence during short-term follow-up at neck ultrasonography (1 year) was detected in 4 patients in Group O. Conclusion: SET is safe and effective, not only for low-risk patients with early-detected cancer, but also for selected cases of advanced cancer. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Mary Ann Liebert, Inc. | - |
dc.relation.isPartOf | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Axilla | - |
dc.subject.MESH | Carcinoma, Papillary / secondary | - |
dc.subject.MESH | Carcinoma, Papillary / surgery* | - |
dc.subject.MESH | Case-Control Studies | - |
dc.subject.MESH | Endoscopy / methods | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neoplasm Recurrence, Local / surgery* | - |
dc.subject.MESH | Neoplasm Staging | - |
dc.subject.MESH | Operative Time | - |
dc.subject.MESH | Postoperative Complications / etiology | - |
dc.subject.MESH | Thyroid Neoplasms / pathology | - |
dc.subject.MESH | Thyroid Neoplasms / surgery* | - |
dc.subject.MESH | Thyroidectomy / methods | - |
dc.subject.MESH | Young Adult | - |
dc.title | Single-Incision, Gasless, Endoscopic Trans-Axillary Total Thyroidectomy: A Feasible and Oncologic Safe Surgery in Patients with Papillary Thyroid Carcinoma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Eun Young Kim | - |
dc.contributor.googleauthor | Kwan Ho Lee | - |
dc.contributor.googleauthor | Yong Lai Park | - |
dc.contributor.googleauthor | Chan Heun Park | - |
dc.contributor.googleauthor | Cho Rok Lee | - |
dc.contributor.googleauthor | Jong Ju Jeong | - |
dc.contributor.googleauthor | Kee-Hyun Nam | - |
dc.contributor.googleauthor | Woong Youn Chung | - |
dc.contributor.googleauthor | Ji-Sup Yun | - |
dc.identifier.doi | 10.1089/lap.2016.0669 | - |
dc.contributor.localId | A03256 | - |
dc.contributor.localId | A03722 | - |
dc.contributor.localId | A01245 | - |
dc.contributor.localId | A03674 | - |
dc.relation.journalcode | J01556 | - |
dc.identifier.eissn | 1557-9034 | - |
dc.identifier.pmid | 28402746 | - |
dc.identifier.url | https://www.liebertpub.com/doi/10.1089/lap.2016.0669 | - |
dc.subject.keyword | papillary thyroid carcinoma | - |
dc.subject.keyword | thyroglobulin | - |
dc.subject.keyword | transaxillary | - |
dc.contributor.alternativeName | Lee, Cho Rok | - |
dc.contributor.affiliatedAuthor | 이초록 | - |
dc.contributor.affiliatedAuthor | 정종주 | - |
dc.contributor.affiliatedAuthor | 남기현 | - |
dc.contributor.affiliatedAuthor | 정웅윤 | - |
dc.citation.volume | 27 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1158 | - |
dc.citation.endPage | 1164 | - |
dc.identifier.bibliographicCitation | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, Vol.27(11) : 1158-1164, 2017-11 | - |
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