Korean Journal of Head & Neck Oncology (대한두경부종양학회지)
- Volume 13 Issue 1
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- Pages.45-50
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- 1997
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- 1229-5183(pISSN)
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- 2586-2553(eISSN)
Clinical Review of Total Thyroidectomy
갑상선 전절제술의 임상분석
- Kno Yoon-Hoi (Department of Surgery, Kosin Medical Center) ;
- Kim Cheong-Hoon (Department of Surgery, Kosin Medical Center) ;
- Ahn Byung-Kweon (Department of Surgery, Kosin Medical Center) ;
- Kim Joong-Kyu (Department of Surgery, Kosin Medical Center)
- 구윤회 (고신대학교 의과대학 일반외과학교실) ;
- 김정훈 (고신대학교 의과대학 일반외과학교실) ;
- 안병권 (고신대학교 의과대학 일반외과학교실) ;
- 김중규 (고신대학교 의과대학 일반외과학교실)
- Published : 1997.05.01
Abstract
Total thyroidectomy has been advocated as the treatment of choice for most well differentiated thyroid carcinomas. Many surgeons have an aversion to total thyroidectomy, however, because of an allegedly high frequency of complications as compared with those resulting from other operation methods. In this report we reviewed our experience with 37 consecutive total thyroidectomy(January 1995 to December 1996). The clinical features are similar to other studies. The sex ratio is 1 : 3.1(M : F), third decade occupies 33% of cases. The anterior neck mass is the most frequent symptom(95%). In the duration of symptom, 35% of patients was within 3 months. Thirty five cases are cancer, and two cases are Hashimoto's thyroditis. The papillary carcinoma is the most common pathologic type(86%). Total thyroidectomy was done in 20 cases, and total thyroidectomy with modified neck dissection was done in 17 cases. The five postoperative complications occurred in 3 patients among 37 patients: postoperative bleeding in 1, transient hoarseness in 2, transient hypoparathyroidism in 2. Thirty four cases received