S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 21 No.4 (1980)
갑상선 전절제술 및 아전절제술에 대한 임상적 고찰
Clinical Observation on Total and Subtotal Thyroidectomy for Thyroid cancer Patients
- Issue Date
- 서울대학교 의과대학
- Seoul J Med, Vol.21 No.4, pp. 401-406
- We got following results by analyzing 36 cases of
subtotal thyroidectomies and 26 cases of total thyroidectomies
for thyroid cancers which were operated
at the Department of General Surgery in Seoul
National University Hospital for recent 2 years.
1. The frequency of In\llticentricity was 16% (in 8 of 51 cases) papillary ca., however, there was no
case of multicentricity in follicular ca. (of 6 cases)
and medullary ca. (of 1 case). But we can not conelude
because of scanty samples in this case.
2. There was little difference in the frequency of
postoperative hoarseness due to injury of recurrent
laryngeal nerves between subtotal and total thyroid"
ectomy (each 3% and 4%).
3. The frequency of permanent hypocalcemia due
to injury of parathyroid glands was higher in total
thyroidectomies than in subtotal thyroidectomies(each
996 and 0%).
4. A group which had reoperation because of recurrence
after the first minor procedure has higher
incidence of permanent hoarseness and hypocalcemia
than a group which had thyroidectomy once (hoarse
ness: each 4% and 22%; hypocalcemia: each 4% and
Most of thyroid cancers were papillary ca. (80%),
and multicentricity of it was high. The incidence of
postoperative complications of reoperation because of
recurrence after minor procedure (simple lobectomy)
was higher than that of the first operation. This
result suggests that more extensive procedures(subtotal
or total thyroidectomy) are more desirable than
the minor procedures in the treatment of thyroid
We are going to support this conclusion by longterm
comparative follow-up studies of recurrence rates
and survival rates between minor procedure group
and more extensive procedure- group.