Cited 7 times in
Increasing the size limit of benign thyroid lesions resectable by endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation
DC Field | Value | Language |
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dc.contributor.author | 고윤우 | - |
dc.contributor.author | 김원식 | - |
dc.contributor.author | 신유섭 | - |
dc.contributor.author | 최은창 | - |
dc.contributor.author | 최홍식 | - |
dc.contributor.author | 홍현준 | - |
dc.date.accessioned | 2014-12-20T17:02:03Z | - |
dc.date.available | 2014-12-20T17:02:03Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0364-2313 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/93836 | - |
dc.description.abstract | BACKGROUND: Endoscopic thyroidectomy is rarely attempted in patients with large goitrous lesions. We examined the feasibility and safety of endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation for resection of large thyroid tumors (≥4 cm). METHODS: The study included 111 patients: 82 in group 1 (tumor diameter <4 cm) and 29 in group 2 (≥ 4 cm). Ninety-one patients underwent hemithyroidectomy and 20 underwent total thyroidectomy. Local complications, surgical outcomes, and pathological outcomes were compared between groups. RESULTS: Postoperative permanent pathology revealed 24 follicular adenomas and 87 nodular hyperplasias. The mean tumor size in group 2 was 51.10 ± 7.66 mm compared to 25.24 ± 8.14 mm in group 1. The mean volume of the thyroid gland in group 2 was 15.60 ± 3.45 cm(3) compared to 11.27 ± 2.40 cm(3) in group 1 (p = 0.000). Mean operating time did not differ significantly between groups (p = 0.520). Postoperatively, minor hematomas were encountered in three patients (3.7%) in group 1. Three patients in group 1 (3.7%) and two in group 2 (6.9%) developed transient unilateral vocal cord palsy (p = 0.604). Temporary hypocalcemia was observed in six and one patients in groups 1 and 2, respectively (p = 1.000). No permanent recurrent laryngeal nerve palsy or hypoparathyroidism occurred in either group. CONCLUSION: Our data support the safety and feasibility of endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation, even for the treatment of benign thyroid lesions ≥4 cm. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 2203~2211 | - |
dc.relation.isPartOf | WORLD JOURNAL OF SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Axilla | - |
dc.subject.MESH | Breast | - |
dc.subject.MESH | Endoscopy* | - |
dc.subject.MESH | Feasibility Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Insufflation | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Thyroid Neoplasms/pathology* | - |
dc.subject.MESH | Thyroid Neoplasms/surgery* | - |
dc.subject.MESH | Thyroidectomy/methods* | - |
dc.subject.MESH | Young Adult | - |
dc.title | Increasing the size limit of benign thyroid lesions resectable by endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학) | - |
dc.contributor.googleauthor | Won Shik Kim | - |
dc.contributor.googleauthor | Hyun Jun Hong | - |
dc.contributor.googleauthor | Yoo Seob Shin | - |
dc.contributor.googleauthor | Eun Chang Choi | - |
dc.contributor.googleauthor | Hong-Shik Choi | - |
dc.contributor.googleauthor | Yoon Woo Koh | - |
dc.identifier.doi | 10.1007/s00268-011-1232-2 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02131 | - |
dc.contributor.localId | A00133 | - |
dc.contributor.localId | A00765 | - |
dc.contributor.localId | A04161 | - |
dc.contributor.localId | A04223 | - |
dc.contributor.localId | A04451 | - |
dc.relation.journalcode | J02802 | - |
dc.identifier.eissn | 1432-2323 | - |
dc.identifier.pmid | 21853357 | - |
dc.identifier.url | http://link.springer.com/article/10.1007%2Fs00268-011-1232-2 | - |
dc.contributor.alternativeName | Kho, Yoon Woo | - |
dc.contributor.alternativeName | Kim, Won Shik | - |
dc.contributor.alternativeName | Shin, Yoo Seob | - |
dc.contributor.alternativeName | Choi, Eun Chang | - |
dc.contributor.alternativeName | Choi, Hong Shik | - |
dc.contributor.alternativeName | Hong, Hyun Jun | - |
dc.contributor.affiliatedAuthor | Shin, Yoo Seob | - |
dc.contributor.affiliatedAuthor | Kho, Yoon Woo | - |
dc.contributor.affiliatedAuthor | Kim, Won Shik | - |
dc.contributor.affiliatedAuthor | Choi, Eun Chang | - |
dc.contributor.affiliatedAuthor | Choi, Hong Shik | - |
dc.contributor.affiliatedAuthor | Hong, Hyun Jun | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 35 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 2203 | - |
dc.citation.endPage | 2211 | - |
dc.identifier.bibliographicCitation | WORLD JOURNAL OF SURGERY, Vol.35(10) : 2203-2211, 2011 | - |
dc.identifier.rimsid | 28496 | - |
dc.type.rims | ART | - |
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