대한갑상선학회 갑상선분화암 진료권고안; Part I. 갑상선분화암의 초기치료 - 제3장 갑상선분화암의 수술 전후 합병증 평가 2024open accessKorean 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
- Authors
- 유창환; 강호철; 구본석; 김선욱; 나동규; 박영주; 박준욱; 송영신; 우승훈; 원호륜; 이시훈; 이은경; 임동준; 전윤경; 정윤재; 임재열; 홍아람
- Issue Date
- May-2024
- Publisher
- 대한갑상선학회
- Keywords
- 갑상선암; 수술 후 합병증; 갑상선절제술; 부갑상선기능저하증; 성대마비; 저칼슘혈증; 진료권고안; 대한갑상선학회; Thyroid cancer; Postoperative complications; Thyroidectomy; Hypoparathyroidism; Vocal fold paralysis; Hypocalcemia; Guideline; Korean Thyroid Association
- Citation
- International Journal of Thyroidology, v.17, no.1, pp 53 - 60
- Pages
- 8
- Journal Title
- International Journal of Thyroidology
- Volume
- 17
- Number
- 1
- Start Page
- 53
- End Page
- 60
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74741
- DOI
- 10.11106/ijt.2024.17.1.53
- ISSN
- 2384-3799
2466-1899
- Abstract
- 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.
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