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KMID : 0978820020050010061
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2002 Volume.5 No. 1 p.61 ~ p.65
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A Clinical Analysis of Endoscopic Thyroidectomy by the Axillary Approach
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임진호/Jin Ho Lim
박일영/김욱/성기영/백종민/신동준/이도상/원종만/Il Young Park/Wook Kim/Gi Young Sung/Jong Min Baek/Dong Joon Shin/Do Sang Lee/Jong Man Won
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Abstract
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Purpose: The thyroid surgery has recently become one of the newest fields for the application of endoscopic surgery. Still, some patients complained of even a small scar on the neck. We therefore have applied a new technique of an
endoscopic
thyroidectomy by the axillary approach that leaves no scar on the neck at all.
Method: This clinical trial was conducted on a total of 17 patients. Operation method is follows: About 3-4㎝ sized incision is made on the idsilateral axilla along the skin crease and the subcutaneous flap is made by blunt dissction. 10㎜
and
5㎜ trocars are inserted via this incision and CO2 gas is insufflated. Another 5㎜ trocar is inserted at the upper chest, laterally. After more dissection, the strap muscles and the parenchyma of the gland dissected and divided using a ultrasnoic
scalped and a electrocautery.
Results: 2 of 17 cases were converted to open thyroidectomy because of uncontrolled bleeding. All the successful patients are young women and their mean age was 30. The operation time was 178 71(100-295) minutees and the post-operative
hospital
stay was 3.6 0.6(3-5) days. Post-operative complications are in 1 case of recurrent laryngeal nerve injury, 1 case of a minimal hematoma, and 3 cases of temporary swallowing difficulties.
Conclusions: This operative procedure resulted good cosmetic effects and there was no difficulty in operative procedure. But the long operation time and hospital stay remain to be overcome.
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KEYWORD
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