Journal List > Korean J Endocr Surg > v.5(1) > 1060260

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Kim, Sung, Oh, Cho, Lee, Kim, Nam, Chung, Jung, Yoon, Kim, Park, Kim, Moon, Lee, Soh, Youn, and Park: Current Status of Endoscopic Thyroidectomy in Korea
Original Article

Korean Journal of Endocrine Surgery 2005; 5(1): 12-17.

Published online: 30 June 2005

DOI: https://doi.org/10.16956/kjes.2005.5.1.12

Current Status of Endoscopic Thyroidectomy in Korea

Jeong Soo Kim, M.D., Gi Young Sung, M.D., Se Jeong Oh, M.D., Young Up Cho, M.D.1, Jae Bok Lee, M.D.2, Tae Hyun Kim, M.D.3, Kee Hyun Nam, M.D.4, Wong Youn Chung, M.D.4, Eun Jung Jung, M.D.5, Jung Han Yoon, M.D.6, Lee Su Kim, M.D.7, Young Rai Park, M.D.8, Jung Han Kim, M.D.8, Byung In Moon, M.D.9, Jong Yul Lee, M.D.10, Euy Young Soh, M.D.11, Yeo Kyu Youn, M.D.12, Cheong Soo Park, M.D.4

Department of Surgery, College of Medicine, The Catholic University of Korea, Korea.

1Department of Surgery, College of Medicine, Inha University, Korea.

2Department of Surgery, College of Medicine, Korea University, Korea.

3Department of Surgery, College of Medicine, Inje University, Korea.

4Department of Surgery, College of Medicine, Yonsei University, Korea.

5Department of Surgery, College of Medicine, Gyeongsang National University, Korea.

6Department of Surgery, College of Medicine, Chonnam National University, Korea.

7Department of Surgery, College of Medicine, Hallym University, Korea.

8Department of Surgery, College of Medicine, Sungkyunkwan University, Korea.

9Department of Surgery, College of Medicine, Ewha Womans University, Korea.

10Department of Surgery, College of Medicine, Cheongju St. Mary's Hospital, Korea.

11Department of Surgery, College of Medicine, Ajou University, Korea.

12Department of Surgery, College of Medicine, Seoul National University, Korea.

Correspondence: drbreast@catholic.ac.kr

      Accepted 30 May 2005

Copyright © 2005 Korean Association of Thyroid and Endocrine Surgeons; KATES

(open-access):

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/1.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The endoscopic surgery has been widely used and developed in operations of the thyroid and parathyroid gland because of the cosmetic advantage and the development of laparoscopic instrument. Since the first endoscopic thyroid surgery in late 1990's, many endoscopic operations for thyroid tumors have been performed in Korea. The authors analyzed the current status of endoscopic thyroid surgery performed in Korea.

Methods

We have collected and analyzed the data of endoscopic thyroid operations using survey.

Results

The surgeons working in 16 hospitals answered the questions in survey. The total endoscopic thyroid operations were performed over 1,200 cases until the end of 2004. In the pathologic diagnosis, nodular hyperplasia was most frequent in 64.5%. The axillary approach was most frequently applied in 9 hospitals (56.2%). Most of endoscopic thyroid operations were performed in 2~3 hours. The operation time was decreased according to the experience. The endoscopic surgery for malignant tumors were also performed in 11 hospitals, The hospital stay was usually 3~4 days. The most common complications in endoscopic thyroid surgery were temporary recurrent laryngeal nerve paralysis and anteior chest wall discomfort or paresthesia. The most common reason for conversion to conventional surgery was the intraoperative diagnosis as for a malignancy.

Conclusion

Endoscopic thyroid surgery has been perfomed in many hospitals not only special thyroid clinic in Korea. The operation cases are increasing rapidly in these days. According to the development of technique and instrument, the endoscopic surgery are applied to various neck disease involving malignancy. The safety and efficacy of endoscopic surgery for malignancy should be further evaluated with accumulation of experience of endoscopic operation and long term follow-up of thyroid cancer patients.

Keywords: Endoscopic thyroidectomy, Thyroid tumor

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