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갑상선 질환의 외과적 요법 비판

A THOUGHT TO THE THYROID SURGERY

한국의과학 1970년 2권 1호 p.55 ~ 58
이용각,
소속 상세정보
이용각 (  ) - 가톨릭대학교 의과대학 부속 성모병원 외과학교실

Abstract


With numerous publications in this country the thyroid surgery is now regarded as routine procedure.
There are, however, some pitfalls and controversy in managements of certain disease and correct application of surgical procedures. Grave´s disease, almost solely managed by medical and isotope doctors, is discussed. Now the demerits of isotope therapy, i.e., growing rate of myxedema and prolonged duration for remission of . the illness, becoming obvious, the good old tool of surgical therapy for this disease should be put on limelight and it´s scope of application should be widened.
On the other hand, surgeons must exercise utmost caution in dealing with the thyroid `lumps´. Overly enthusiastic attitude :´can lead to unnecessary surgical mutilation on thyroiditis and nodular hyperplasia or simple cyst.
In author´s experience the thyroid cancer in this country, let other country´s consensus alone, is best managed by conservative surgery as proposed by Dr. George Crile.

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