지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.1
- 발행연도
- 2018.7
- 수록면
- 16 - 21 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: The purpose of this study was to determine the extent of safety of medial dissection of the thyroid gland along the trachea. Medial to lateral dissection of the thyroid gland along the trachea after early division of the isthmus has been known to be a useful technique in thyroid surgery, especially for difficult cases, but the risk of injury of the recurrent laryngeal nerve (RLN) has constrained thyroid surgeons from utilizing this technique to its full extent.
Methods: Distances of the laryngeal entry point (LEP) of 134 RLNs of 71 patients from the midline of the trachea, and some other anatomical distances, were measured intraoperatively. The relationships of the intraoperatively measured data with circumferences of the cartilaginous portion of the trachea (CCT) around LEP measured preoperatively by CT scan were evaluated.
Results: LEP was always located within 2 mm vertically from the horizontally extended line of the inferior border of the cricoid cartilage and was the closest point from the midline in the whole course of the RLN. The distance between LEP and the midline was very closely correlated with CCT measured on preoperative CT scan, and it can be accurately calculated with a regression equation; Distance between LEP and the midline = (0.42 × CCT) + (1.2 × sex) + 3.2 (mm) (sex: female=0, male=1; R<SUP>2</SUP> = 0.85).
Conclusion: Early division of the isthmus and dissecting the thyroid off the trachea to the calculated extent is a safe and effective procedure.
Methods: Distances of the laryngeal entry point (LEP) of 134 RLNs of 71 patients from the midline of the trachea, and some other anatomical distances, were measured intraoperatively. The relationships of the intraoperatively measured data with circumferences of the cartilaginous portion of the trachea (CCT) around LEP measured preoperatively by CT scan were evaluated.
Results: LEP was always located within 2 mm vertically from the horizontally extended line of the inferior border of the cricoid cartilage and was the closest point from the midline in the whole course of the RLN. The distance between LEP and the midline was very closely correlated with CCT measured on preoperative CT scan, and it can be accurately calculated with a regression equation; Distance between LEP and the midline = (0.42 × CCT) + (1.2 × sex) + 3.2 (mm) (sex: female=0, male=1; R<SUP>2</SUP> = 0.85).
Conclusion: Early division of the isthmus and dissecting the thyroid off the trachea to the calculated extent is a safe and effective procedure.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Cakir BO / 2006 / Reliable surgical landmarks for the identification of the recurrent laryngeal nerve / Otolaryngol Head Neck Surg 135 : 299 ~ 302
[학술지(정기간행물)] - Wang C / 1975 / The use of the inferior cornu of the thyroid cartilage in identifying the recurrent laryngeal nerve / Surg Gynecol Obstet 140 : 91 ~ 94
[학술지(정기간행물)] - Moreau S / 1998 / The recurrent laryngeal nerve: related vascular anatomy / Laryngoscope 108 : 1351 ~ 1353
[학술지(정기간행물)] - Sturniolo G / 1999 / The recurrent laryngeal nerve related to thyroid surgery / Am J Surg 177 : 485 ~ 488
[학술지(정기간행물)] - Page C / 2006 / Superior approach to the inferior laryngeal nerve in thyroid surgery: anatomy, surgical technique and indications / Surg Radiol Anat 28 : 631 ~ 636
[학술지(정기간행물)] - Wang C / 1975 / The use of the inferior cornu of the thyroid cartilage in identifying the recurrent laryngeal nerve / Surg Gynecol Obstet 140 : 91 ~ 94
[학술지(정기간행물)] - Moreau S / 1998 / The recurrent laryngeal nerve: related vascular anatomy / Laryngoscope 108 : 1351 ~ 1353
[학술지(정기간행물)] - Sturniolo G / 1999 / The recurrent laryngeal nerve related to thyroid surgery / Am J Surg 177 : 485 ~ 488
[학술지(정기간행물)] - Page C / 2006 / Superior approach to the inferior laryngeal nerve in thyroid surgery: anatomy, surgical technique and indications / Surg Radiol Anat 28 : 631 ~ 636
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Non-recurrent Laryngeal Nerve Identified During Robotic Thyroidectomy in a Patient with Papillary Thyroid Carcinoma
The Journal of Endocrine Surgery
2016 .01
-
Protection and Dissection of Recurrent Laryngeal Nerve in Salvage Thyroid Cancer Surgery to Patients with Insufficient Primary Operation Extent and Suspicious Residual Tumor
Asian Pacific journal of cancer prevention : APJCP
2015 .01
-
Extensive Extra-laryngeal Branching and Sympathetic Anastomosis of Recurrent Laryngeal Nerve: Nerve Wracking Trap
The Journal of Endocrine Surgery
2021 .01
-
Medico-Legal Issues of Intraoperative Neuromonitoring in Thyroid Surgery
The Journal of Endocrine Surgery
2017 .01
-
The Anatomical Relationship Between Recurrent Laryngeal Nerve and First Tracheal Ring in Males and Females
Clinical and Experimental Otorhinolaryngology
2017 .01
-
Efficacy of intraoperative neuromonitoring of recurrent laryngeal nerve in reoperation for recurred thyroid cancer patients
대한외과학회 학술대회 초록집
2019 .10
-
회돌이 후두신경재생을 위한 신경도관의 활용
International Journal of Thyroidology
2023 .05
-
Efficacy of intraoperative neuromonitoring of recurrent laryngeal nerve in reoperation for recurred thyroid cancer patients
대한임상종양학회 학술대회지
2020 .07
-
Efficacy of Percutaneous Thermal Ablation of Papillary Thyroid Carcinoma
The Journal of Endocrine Surgery
2019 .01
-
Surgical Technique for the Functional Preservation of the Inferior Parathyroid Glands
International Journal of Thyroidology
2016 .01
-
Non-recurrent laryngeal nerve identification and preservation during transoral robotic thyroidectomy
대한외과학회 학술대회 초록집
2017 .11
-
The Recurrent Laryngeal Nerve(RLN) and External Branch of Superior Laryngeal Nerve(EBSLN) Preservation in Transoral Robotic Thyroidectomy(TORT)
대한외과학회 학술대회 초록집
2020 .11
-
Loss of the Neuromonitoring Signal on the First Side in Planned Total Thyroidectomy
The Journal of Endocrine Surgery
2017 .01
-
Management of Tracheal and Laryngeal Invasion of Thyroid Carcinoma
대한외과학회 학술대회 초록집
2019 .10
-
Thyroid : Cons
대한임상종양학회 학술대회지
2015 .02
-
Enhancing recurrent laryngeal nerve localization during transoral endoscopic thyroid surgery using augmented reality: a proof-of-concept study
Annals of Surgical Treatment and Research
2025 .03
-
우측 대동맥활이 동반된 좌측 반회하후두신경 1예
대한 두경부 종양 학술지
2017 .01
-
흥미로운 갑상선 수술의 역사: 고대부터 현대까지
대한이비인후-두경부외과학회지
2016 .01
-
Guidelines for the Surgical Management of Laryngeal Cancer: Korean Society of Thyroid-Head and Neck Surgery
Clinical and Experimental Otorhinolaryngology
2017 .01
-
갑상선 잔류물에서 발생하여 성대 마비를 유발한 원발성갑상선 유두암 1예
International Journal of Thyroidology
2015 .01
이 논문의 저자 정보
이 논문과 함께 이용한 논문
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2018-514-003115699