대한갑상선학회 갑상선분화암 진료권고안; Part I. 갑상선분화암의 초기치료 - 제3장 갑상선분화암의 수술 전후 합병증 평가 2024

Korean Thyroid Association Guidelines on the Management of Differentiated Thyroid Cancers; Part I. Initial Management of Differentiated Thyroid Cancers - Chapter 3. Perioperative Assessment of Surgical Complications 2024
  • 유창환
  • 강호철
  • 구본석
  • 김선욱
  • 나동규
  • ... 정윤재
  • 외 11명

초록

Thyroid surgery complications include voice change, vocal fold paralysis, and hypoparathyroidism. The voice status should be evaluated pre- and post-surgery. In patients with voice change, laryngeal visualization is needed. Intraoperative neuromonitoring helps reduce recurrent laryngeal nerve injury. The measurement of serum calcium, parathyroid hormone, and 25-hydroxyvitamin D levels is recommended to evaluate perioperative parathyroid function and prescribe supplementation preoperatively if necessary. For postoperative hypoparathyroidism, vitamin D and oral calcium supplementation are indicated based on serum parathyroid hormone and calcium levels and the severity of symptoms or signs of hypocalcemia. If long-term treatment is required, the appropriateness of treatment should be evaluated based on the disease itself and the consideration of potential benefits and harms from long-term replacement.

키워드

갑상선암수술 후 합병증갑상선절제술부갑상선기능저하증성대마비저칼슘혈증진료권고안대한갑상선학회Thyroid cancerPostoperative complicationsThyroidectomyHypoparathyroidismVocal fold paralysisHypocalcemiaGuidelineKorean Thyroid Association
제목
대한갑상선학회 갑상선분화암 진료권고안; Part I. 갑상선분화암의 초기치료 - 제3장 갑상선분화암의 수술 전후 합병증 평가 2024
제목 (타언어)
Korean Thyroid Association Guidelines on the Management of Differentiated Thyroid Cancers; Part I. Initial Management of Differentiated Thyroid Cancers - Chapter 3. Perioperative Assessment of Surgical Complications 2024
저자
유창환강호철구본석김선욱나동규박영주박준욱송영신우승훈원호륜이시훈이은경임동준전윤경정윤재임재열홍아람
DOI
10.11106/ijt.2024.17.1.53
발행일
2024-05
저널명
International Journal of Thyroidology
17
1
페이지
53 ~ 60

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