소개
Prof. 김훈엽
의과대학 외과학교실 교수
안암병원 유방내분비외과 과장
Tel: 02-920-6849
E-mail: hoonyubkim@korea.ac.kr
- About Professor
- Curriculum Vitae
- Publication
- Research
- 학회발표목록
- 언론보도자료
Profile
내분비 외과 의사로서 갑상선암 및 갑상선기능 항진증, 부갑상선 기능 항진증 및 부신 종양 등에 대한 수술적 치료를 수행하고 있으며, 자연스럽게 주로 이와 관련한 연구들을 진행하고 있다. 이 중 주요 관심 연구 분야는 크게 두 가지로, 갑상선 수술 중 손상이 발생할 수 있는 후두신경의 기능 보존을 위한 수술 중 신경 모니터링 (intraoperative neuromonitoring, IONM)에 관한 연구와, 흉터 없이 통증을 최소화하여 정밀하게 갑상선 수술을 시행할 수 있는 로봇 경구 갑상선 절제술 (transoral robotic thyroidectomy, TORT)의 개발 및 이에 관한 연구를 지속적으로 수행하고 있다.
Curriculum Vitae
Education
박사 (2008-2010): 서울대학교 대학원 의학과
석사 (2005-2007): 서울대학교 대학원 의학과
학사 (1992-1998): 서울대학교 의과대학 의학과Professional Experiences
2002 ~ 2003 : 서울대학교병원 수련의
2003 ~ 2007 : 서울대학교병원 외과 전공의
2007 ~ 2008 : 서울대학교병원 갑상선내분비외과 전임의 및 임상강사
2008 ~ 2009 : 고려대학교안암병원 유방내분비외과 전임의
2009 ~ 2011 : 고려대학교안암병원 유방내분비외과 임상조교수
2011 ~ 2013 : 고려대학교 의과대학 외과학교실 및 고려대학교안암병원 유방내분비외과 조교수
2013 ~ 2018 : 고려대학교 의과대학 외과학교실 및 고려대학교안암병원 유방내분비외과 부교수
2015 ~ 2016 : 미국 존스홉킨스 의과대학 두경부외과 연구 교수 (Research Professor and Faculty, Division of Head and Neck Surgery, Dept. of Otolaryngology - Head and Neck Surgery, Johns Hopkins University School of Medicine, USA)
2016 ~ : 고려대학교안암병원 유방내분비외과장
2018 ~ : 고려대학교 의과대학 외과학교실 및 고려대학교안암병원 유방내분비외과 교수학회 및 사회활동
2007 ~ : 대한외과학회 정회원
2007 ~ : 대한갑상선내분비외과학회 평생회원
2007 ~ : 대한갑상선학회 평생회원
2008 ~ : 대한내시경복강경외과학회 평생회원
2008 ~ : 대한임상종양학회 평생회원
2008 ~ : The Asia and Oceania Thyroid Association 평생회원
2010 ~ 2012 : 대한외과학회 부총무
2010 ~ 2012 : 대한갑상선내분비외과학회 학술 위원 및 학술 간사
2010 ~ : 대한갑상선내분비외과학회 수련 위원 및 수련 간사
2011 ~ : Board Member, International Neural Monitoring Study Group
2012 ~ : Board Member, International Surgical Education Forum
2012 ~ : 대한갑상선내분비외과학회 연구 위원
2012 ~ : 대한내시경복강경외과학회 편집 위원
2013 ~ 2014 : 대한외과학회 섭외홍보위원회 간사
2013 ~ 2014 : 대한외과학회 산하 한국외과로봇수술연구회 총무이사
2014 ~ : 대한내시경복강경외과학회 연구 위원
2014 ~ : 대한갑상선내분비외과학회 기획 위원, 진료권고안 위원
2014 ~ 2017 : 대한두경부종양학회 산하 한국신경모니터링연구회 학술이사
2015 ~ 2017 : 대한외과학회 산하 한국외과로봇수술연구회 편집이사
2015 ~ : Member, American Thyroid Association
2016 ~ : 대한종양외과학회 학술위원
2016 ~ : 대한내시경복강경외과학회 학술위원
2016 ~ : 대한갑상선내분비외과학회 편집이사
2016 ~ : Fellow of the American College of Surgeons (FACS)
2016 ~ : Editor, Annals of Laparoscopic and Endoscopic Surgery
2016 ~ : Honorary Member, Chinese Neural Monitoring Study Group
2017 ~ : 대한신경모니터링학회 학술이사
2017 ~ : 대한갑상선학회 학술위원수상 경력
2010 .04 .03 : 대한갑상선내분비외과학회 우수연구자상
2010 .08 .21 : 대한갑상선학회 부광-다림 학술상
2012 .09 .07 : Honorable scientific presentation award, SLS(Society of Laparoendoscopic Surgeons)- MIRA(Minimally Invasive Robotic Association)- SRS(Society of Robotic Surgeons) Joint Annual Meeting & Endo Expo 2012
2015 .07 .11 : Best video presentation award, 10th International NOSCAR(Natural Orifice Surgery Consortium for Assessment and Research) Summit: NOTES(Natural Orifice Translumenal Endoscopic Surgery) and Endoluminal Surgery, USA
2017.5 : 고려대학교 석탑연구자상 수상Publication
국제학술지
1. KimHY, Park DJ, Park HJ, Lee HJ, Yang HK, Kim WH, Lee KU, Choe KJ. Two Cases of Teenage Gastric Cancer Patients. J Korean Gastric Cancer Assoc. 2004 Sep;4(3):180-185.
2. KimHY, Park DJ, Lee HS, Lee HJ, Kim HH, Han HS, Yang HK, Lee KU. Laparoscopic Resection of Multiple Gastric Duplication Cysts in an Adult. J Korean Surg Soc. 2006 Dec;71(6):469-474.
3. Choe JH, Park YL, Chung YS, KimHY, Lee KE, Park WS, Kim JS, Youn YK. The Use of Fibrin Tissue Glue in Thyroid Surgery; A Randomized-Prospective Trial. Kr J Endocrine Surg 2007 Jun; 007(02): 107-110.
4. KimHY, Chang MC, Noh DY, Youn YK, Oh SK. Retroperitoneal Tumors Preoperatively Misdiagnosed as Adrenal Tumor. J Korean Surg Soc. 2007 Aug;73(2):103-113.
5. Chung YS, Choe JH, Lee KE, Park WS, KimHY, Han W, Noh DY, Oh SK, Youn YK. Detection of BRAF Mutation on Fine Needle Aspiration Biopsy Specimens Using the Colorimetric Mutation Detection Method. J Korean Surg Soc. 2008 Jan;74(1):25-33.
6. Lee JB, KimHY, Woo SW, Ryu WS, Lee JA, Son GS, Bae JW, Lee YM. The Clinical Significance of Minimal Extrathyroid Extension in Patients with Papillary Thyroid Microcarcinoma. Kr J Endocrine Surg 2008 Dec; 008(04): 243-249.
7. Lee KE, KimHY, Park WS, Choe JH, Kwon MR, Oh SK, Youn YK. Postauricular and Axillary Approach Endoscopic Neck Surgery: A New Technique. World J Surg. 2009 Apr;33(4):767-772.
8. KimHY, Bae JW, Lee ES, Lee JA, Kim KI, Chang MC, Youn YK, Oh SK. Retroperitoneal Tumors Preoperatively Misdiagnosed as Adrenal Origin. World J Surg. 2009 Sep;33(S1): S222-S223.
9. KimHY, Bae JW, Lee ES, Kim KI, Woo SU, Lee JB, Son GS. An Experience of Robotic Thyroid Surgery for a Papillary Carcinoma Previously Treated with Radiofrequency Ablation. World J Surg. 2009 September; 33(S1): S229-S230.
10. Park WS, Chung YS, Lee KE, KimHY, Choe JH, Koh SH, Youn YK. A Prospective Randomized Controlled Study on the Anti-adhesive Effect and Safety of Sodium Hyaluronate and Sodium Carboxymethyl Cellulose Solution on Thyroid Surgery. Asian J Surg. 2010 Jan;33(1):25-30.
11. Park WS, Lee KE, Song JY, Chung YS, KimHY, Koh SH, Youn YK. Diagnosis of Papillary Thyroid Cancer via Detection of BRAF Mutation on Fine Needle Aspiration Cytology Slides. Kr J Endocrine Surg 2010 Mar; 010(01): 12-18.
12. Son GS, Ryu WS, KimHY, Woo SU, Park KW, Bae JW. Immunologic Response to Mistletoe Extract (Viscum album L.) after Conventional Treatment in Patients with Operable Breast Cancer. J Breast Cancer. 2010 Mar;13(01): 14-18.
13. KimHY, Ryu WS, Woo SU, Son GS, Lee ES, Lee JB, Bae JW. Primary Papillary Thyroid Carcinoma Previously Treated Incompletely with Radiofrequency Ablation. J Cancer Res Ther. 2010 Jul-Sep;6(3): 310-312.
14. KimHY, Park WY, Lee KE, Park WS, Chung YS, Cho SJ, Youn YK. Comparative Analysis of Gene Expression Profiles of Papillary Thyroid Microcarcinoma and Papillary Thyroid Carcinoma. J Cancer Res Ther. 2010 Nov-Dec;6(4): 452-457.
15. Joung SY, KimHY, Ryu WS, Woo SU, Son GS, Lee JB, Bae JW. Preoperative Thyroid-stimulating Hormone Levels as a Predictor of Thyroid Carcinoma. Kr J Endocrine Surg 2010 Dec; 010(04): 220-223.
16. KimHY, d’Ajello F, Ryu WS, Woo SU, Son GS, Lee ES, Lee JB, Bae JW. Medullary Thyroid Carcinoma Metastatic to the Breast and Axillary Lymph Nodes. Minerva Chir. 2011 Feb;66(1): Epub ahead of print.
17. KimHY, d'Ajello F, Woo SU, Son GS, Lee JB, Bae JW. Robotic Thyroid Surgery Using Bilateral Axillo-Breast Approach : Personal initial experience over two years. Minerva Chir. 2012 Feb;67(1):39-48.
18. Hwang SB, Lee HY, KimHY, Lee ES, Bae JW. Life-threatening acute hyponatremia with generalized seizure induced by low-dose cyclophosphamide in a patient with breast cancer. J Breast Cancer. 2011 Dec;14(4):345-8.
19. Hwang SB, Bae JW, Lee HY, KimHY. Circulating Tumor Cells Detected by RT-PCR for CK-20 before Surgery Indicate Worse Prognostic Impact in Triple-Negative and HER2 Subtype Breast Cancer. J Breast Cancer. 2012 Mar;15(1):34-42.
20. Dionigi G, Alesina PF, Barczynski M, Boni L, Chiang FY, KimHY, Materazzi G, Randolph GW, Terris DJ, Wu CW. Recurrent laryngeal nerve injury in video-assisted thyroidectomy: lessons learned from neuromonitoring. Surg Endosc. 2012 Sep;26(9):2601-8.
21. KimHY, Choi YJ, Yoon SZ, Yu HN. Optimal carbon dioxide insufflation pressure during robot-assisted thyroidectomy in patients with various benign and malignant thyroid diseases. World J Surg Oncol. 2012 Sep 27;10(1):202.
22. Kim WY, Lee JB, KimHY. Efficacy of intraoperative parathyroid hormone monitoring to predict success of parathyroidectomy for secondary hyperparathyroidism. J Korean Surg Soc. 2012 Jul;83(1):1-6.
23. Yang IS, Lee HY, Yoo JY, Son GS, Lee JB, Bae JW, KimHY*. Robotic Adrenalectomy Using a Lateral Transperitoneal Approach: Initial Experience of Fifteen Consecutive Cases. Kr J Endocrine Surg 2012 Sep; 012(03): 179-184.
24. Lee KE, Jee HG, KimHY, Park WS, Park SH, Youn YK. Development of a canine model for recurrent laryngeal injury by harmonic scalpel. Lab Anim Res. 2012 Dec;28(4):223-8.
25. Hwang SB, Lee HY, Kim WY, Woo SU, Lee JB, Bae JW, KimHY*. The anatomy of the external branch of the superior laryngeal nerve in Koreans. Asian J Surg 2013 Jan;36(1):13-9.
26. Dionigi G, Donatini G, Boni L, Rausei S, Rovera F, Tanda ML, KimHY, Chiang FY, Wu CW, Mangano A, Rulli F, Alesina PF, Dionigi R. Continuous monitoring of the recurrent laryngeal nerve in thyroid surgery: A critical appraisal. Int J Surg 2013 Jan;11 Suppl 1:S44-6.
27. Park KS, Lee KE, Ku do H, Kim SJ, Park WS, KimHY, Kwon MR, Youn YK. Antiadhesive effect and safety of oxidized regenerated cellulose after thyroidectomy: a prospective, randomized controlled study. J Korean Surg Soc. 2013 Jun;84(6):321-9.
28. Kim WY, Lee JB, KimHY, Woo SU, Son GS, Bae JW. Achievement of the National Kidney Foundation Kidney Disease Outcomes Quality Initiative: recommended serum calcium, phosphate and parathyroid hormone values with parathyroidectomy in patients with secondary hyperparathyroidism. J Korean Surg Soc. 2013 Jul;85(1):25-9.
29. You JY, Lee HY, Son GS, Lee JB, Bae JW, KimHY*. Comparison of robotic adrenalectomy with traditional laparoscopic adrenalectomy with a lateral transperitoneal approach: a single-surgeon experience. Int J Med Robot. 2013 Sep;9(3):345-50.
30. Dionigi G, KimHY, Wu CW, Lavazza M, Ferrari C, Leotta A, Spampatti S, Rovera F, Rausei S, Boni L, Chiang FY. Vagus nerve stimulation for standardized monitoring: technical notes for conventional and endoscopic thyroidectomy. Surg Technol Int. 2013 Sep;23:95-103.
31. Lee HY, Yang IS, Hwang SB, Lee JB, Bae JW, KimHY*. Robotic Thyroid Surgery for Papillary Thyroid Carcinoma: Lessons Learned From 100 Consecutive Surgeries. Surg Laparosc Endosc Percutan Tech. 2015 Feb;25(1):27-32.
32. Kim WY, KimHY, Son GS, Bae JW, Lee JB. Clinicopathological, immunohistochemical factors and recurrence associated with extrathyroidal extension in papillary thyroid microcarcinoma. J Cancer Res Ther. 2014 Jan-Mar;10(1):50-5.
33. Wu CW, Dionigi G, Sun H, Liu X, KimHY, Hsiao PJ, Tsai KB, Chen HC, Chen HY, Chang PY, Lu IC, Chiang FY. Intraoperative neuromonitoring for the early detection and prevention of RLN traction injury in thyroid surgery: A porcine model. Surgery. 2014 Feb;155(2):329-39.
34. Lee HY, Hwang SB, Ahn KM, Lee JB, Bae JW, KimHY*. The Safety of Transoral Periosteal Thyroidectomy: Results of Swine Models. J Laparoendosc Adv Surg Tech A. 2014 May;24(5):312-7.
35. Kwak HY, KimHY*. The Present and Future of Intraoperative Neuromonitoring in Thyroid Surgery. Korean J Endocrine Surg. 2014 Jun; 14(2): 67~75.
36. Lee SG, Jung SP, Lee HY, Kim S, KimHY, Kim I, Bae JW. Secretory breast carcinoma: A report of three cases and a review of the literature. Oncol Lett. 2014 Aug;8(2):683-686.
37. Mangano A, KimHY, Lianos GD, Roukos DH, Dionigi G. Targeted agents for advanced thyroid cancer: "knowledge is power" - the role of multikinase inhibitors. Future Oncol. 2014 Nov;10(14):2099-102.
38. Mangano A, Wu CW, Lianos GD, KimHY, Chiang FY, Wang P, Xiaoli L, Hui S, Teksöz S, Bukey Y, Dionigi G, Rausei S. Evidence-based Analysis on The Clinical Impact of Intraoperative Neuromonitoring in Thyroid Surgery: State of the Art and Future Perspectives. Surg Technol Int. 2014 Nov;25:91-6.
39. Mangano A, Lianos GD, Boni L, KimHY, Roukos DH, Dionigi G. Intraoperative Neuromonitoring of the External Branch of the Superior Laryngeal Nerve during Thyroidectomy: The Need for Evidence-Based Data and Perioperative Technical/ Technological Standardization. Scientific World Journal. 2014;2014:692365.
40. Kwak HY, KimHY*, Lee HY, Jung SP, Woo SU, Son GS, Lee JB, Bae JW. Robotic thyroidectomy using bilateral axillo-breast approach: Comparison of surgical results with open conventional thyroidectomy. J Surg Oncol. 2015 Feb;111(2):141-5.
41. Lee HY, You JY, Woo SU, Son GS, Lee JB, Bae JW, KimHY*. Transoral periosteal thyroidectomy: cadaver to human. Surg Endosc. 2015 Apr;29(4):898-904.
42. Lee HY, Cho YG, You JY, Choi BH, Kim JY, Wu CW, Chiang FY, KimHY*. Traction injury of the recurrent laryngeal nerve: Results of continuous intraoperative neuromonitoring in a swine model. Head Neck. 2016 Apr;38(4):582-8.
43. Lee HY, J Richmon, R Walvekar, C Holsinger, KimHY*. Robotic Transoral Periosteal Thyroidectomy (TOPOT): Experience in Two Cadavers. J Laparoendosc Adv Surg Tech A. 2015 Feb;25(2):139-42.
44. Lee SG, Lee SD, Kim MK, Ryu WS, Jung SP, Kim S, KimHY, Yoon ES, Kim CH, Nam SJ, Bae JW. Effect of Antiadhesion Barrier Solution and Fibrin on Capsular Formation After Silicone Implant Insertion in a White Rat Model. Aesthetic Plast Surg. 2015 Feb;39(1):162-70.
45. Chiang FY, Lu IC, Chang PY, Sun H, Wang P, Lu XB, Chen HC, Chen HY, KimHY, Dionigi G, Wu CW. Stimulating dissecting instruments during neuromonitoring of RLN in thyroid surgery. Laryngoscope. 2015 Dec;125(12):2832-7.
46. Chang YW, Kim HS, KimHY, Lee JB, Bae JW, Son GS. Should central lymph node dissection be considered for all papillary thyroid microcarcinoma? Asian J Surg. 2015 Apr; Epub ahead of print.
47. Kwak HY, KimHY*, Lee HY, Jung SP, Woo SU, Son GS, Lee JB, Bae JW. Predictive factors for difficult robotic thyroidectomy using bilateral axillo-breast approach. Head Neck. 2016 Apr;38 Suppl 1:E954-60.
48. Lin YC, Dionigi G, Randolph GW, Lu IC, Chang PY, Tsai SY, KimHY, Lee HY, Tufano RP, Sun H, Liu X, Chiang FY, Wu CW. Electrophysiologic monitoring correlates of recurrent laryngeal nerve heat thermal injury in a porcine model. Laryngoscope. 2015 Aug;125(8):E283-90.
49. Wu CW, Chai YJ, Dionigi G, Chiang FY, Liu X, Sun H, Randolph GW, Tufano RP, KimHY*. Recurrent Laryngeal Nerve Safety Parameters of the Harmonic Focus During Thyroid Surgery: Porcine Model Using Continuous Monitoring. Laryngoscope. 2015 Dec;125(12):2838-45.
50. KimHY, Tufano RP, Randolph GW, Barczyński M, Wu CW, Chiang FY, Liu X, Masuoka H, Miyauchi A, Park SY, Kwak HY, Lee HY, Dionigi G, Korean Intraoperative Neural Monitoring Society(KINMoS). Impact of Positional Changes in Neural Monitoring Endotracheal Tube on Amplitude and Latency of Electromyographic Response in Monitored Thyroid Surgery – Results from the Porcine Experiment. Head Neck. 2016 Apr;38 Suppl 1:E1004-8.
51. Dionigi G, Chiang FY, Hui S, Wu CW, Xiaoli L, Ferrari CC, Mangano A, Lianos GD, Leotta A, Lavazza M, Frattini F, Annoni M, Rausei S, Boni L, KimHY. Continuous Intraoperative Neuromonitoring (C-IONM) Technique with the Automatic Periodic Stimulating (APS) Accessory for Conventional and Endoscopic Thyroid Surgery. Surg Technol Int. 2015 May;26:101-14.
52. Kim WY, Lee JB, KimHY, Woo SU, Son GS, Bae JW. Endoplasmic reticulum aminopeptidase 2 is highly expressed in papillary thyroid microcarcinoma with cervical lymph node metastasis. J Cancer Res Ther. 2015 Apr-Jun;11(2):443-6.
53. Jung SP, Lee HY, Bae JW, KimHY*. Medullary Thyroid Carcinoma Metastasis to the Breast and Axillary Lymph Nodes. Indian J Surg. 2015 Aug;77(4):329-31.
54. Kwak HY, Dionigi G, Kim D, Lee HY, Son GS, Lee JB, Bae JW, KimHY*. Thermal injury of the recurrent laryngeal nerve by THUNDERBEAT during thyroid surgery: findings from continuous intraoperative neuromonitoring in a porcine model. J Surg Res. 2016 Jan;200(1):177-82.
55. Kwak HY, Dionigi G, Liu X, Sun H, Woo SU, Son GS, Lee JB, Bae JW, KimHY*. Predictive factors for longer operative times for thyroidectomy. Asian J Surg 2017 Apr;40(2):139-144.
56. Dionigi G, KimHY*, Randolph GW, Wu CW, Sun H, Liu X, Barczynski M, Chiang FY. Prospective validation study of Cernea classification for predicting EMG alterations of the external branch of the superior laryngeal nerve. Surg Today. 2016 Jul;46(7):785-91.
57. Clark JH, KimHY, Richmon JD. Transoral robotic thyroid surgery. Gland Surg. 2015 Oct;4(5):429-34.
58. Lee HY, Lee JY, G Dionigi, Bae JW, KimHY*. The Efficacy of Intraoperative Neuromonitoring During Robotic Thyroidectomy: A Prospective, Randomized Case-Control Evaluation. J Laparoendosc Adv Surg Tech A. 2015 Nov;25(11):908-14.
59. Mangano A, KimHY*, Wu CW, Rausei S, Hui S, Liu X, Chiang FY, Roukos DH, Lianos GD, Volpi E, Dionigi G. Continuous intraoperative neuromonitoring in thyroid surgery: Safety analysis of 400 consecutive electrode probe placements with standardized procedures. Head Neck. 2016 Apr;38 Suppl 1:E1568-74.
60. Bacuzzi A, Dralle H, Randolph GW, Chiang FY, KimHY, Barczyński M, Dionigi G.
Safety of Continuous Intraoperative Neuromonitoring (C-IONM) in Thyroid Surgery.
World J Surg. 2016 Mar;40(3):768-9.
61. Dionigi G, Wu CW, KimHY, Rausei S, Boni L, Chiang FY. Severity of Recurrent Laryngeal Nerve Injuries in Thyroid Surgery. World J Surg. 2016 Jun;40(6):1373-81.
62. Ferrari CC, Rausei S, Amico F, Boni L, Chiang FY, Wu CW, KimHY, Dionigi G. Recurrent laryngeal nerve injury in thyroid surgery: Clinical pathways and resources consumption. Head Neck. 2016 Nov;38(11):1657-1665.
63. Anuwong A, KimHY, Dionigi G. Neural Monitoring in Thyroid Surgery: Is it Evidence-Based? Is it Cost-Effective? World J Surg. 2016 Nov;40(11):2829-2830.
64. Mangano A, Lianos GD, Roukos DH, Mason SE, KimHY, Dionigi G. New horizons for targeted treatment of neuroendocrine tumors. Future Oncol. 2016 Apr;12(8):1059-65.
65. Wu CW, Hao M, Tian M, Dionigi G, Tufano RP, KimHY, Jung KY, Liu X, Sun H, Lu IC, Chang PY, Chiang FY. Recurrent laryngeal nerve injury with incomplete loss of electromyography signal during monitored thyroidectomy-evaluation and outcome. Langenbecks Arch Surg. 2017 Jun;402(4):691-699.
66. Chang YW, Kim HS, Jung SP, KimHY, Lee JB, Bae JW, Son GS. Pre-ablation stimulated thyroglobulin is a better predictor of recurrence in pathological N1a papillary thyroid carcinoma than the lymph node ratio. Int J Clin Oncol. 2016 Oct;21(5):862-868.
67. Wu CW, Liu X, Barczyński M, KimHY, Dionigi G, Sun H, Chiang FY, Kamani D, Randolph GW. Optimal stimulation during monitored thyroid surgery: EMG response characteristics in a porcine model. Laryngoscope. 2017 Apr;127(4):998-1005.
68. Anuwong A, Lavazza M, KimHY, Wu CW, Rausei S, Pappalardo V, Ferrari CC, Inversini D, Leotta A, Biondi A, Chiang FY, Dionigi G. Recurrent laryngeal nerve management in thyroid surgery: consequences of routine visualization, application of intermittent, standardized and continuous nerve monitoring. Updates Surg 2016 Dec;68(4):331-341.
69. Inversini D, Rausei S, Ferrari CC, Frattini F, Anuwong A, KimHY, Liu X, Wu CW, Tian W, Liu R, Dionigi G. Early intact PTH (iPTH) is an early predictor of postoperative hypocalcemia for a safer and earlier hospital discharge: an analysis on 260 total thyroidectomies. Gland Surg. 2016 Oct;5(5):522-528.
70. Dionigi G, Chiang FY, KimHY, Randolph GW, Mangano A, Chang PY, Lu IC, Lin YC, Chen HC, Wu CW. Safety of LigaSure in recurrent laryngeal nerve dissection-porcine model using continuous monitoring. Laryngoscope. 2017 Jul;127(7):1724-1729.
71. Lavazza M, Liu X, Wu C, Anuwong A, KimHY, Liu R, Randolph GW, Inversini D, Boni L, Rausei S, Frattini F, Dionigi G. Indocyanine green-enhanced fluorescence for assessing parathyroid perfusion during thyroidectomy. Gland Surg. 2016 Oct;5(5):512-521.
72. Dionigi G, Wu CW, KimHY, Liu X, Liu R, Randolph GW, Anuwong A. Safety of energy based devices for hemostasis in thyroid surgery. Gland Surg. 2016 Oct;5(5):490-494.
73. Frattini F, Borroni G, Lavazza M, Liu X, KimHY, Liu R, Anuwong A, Rausei S, Dionigi G. New endoscopic procedures for diabetes mellitus type 2 and obesity treatment. Gland Surg. 2016 Oct;5(5):458-464.
74. Xiaoli L, Wu CW, KimHY, Tian W, Chiang FY, Liu R, Anuwong A, Randolph GW, Dionigi G, Lavazza M. Gastric acid secretion and gastrin release during continuous vagal neuromonitoring in thyroid surgery. Langenbecks Arch Surg. 2017 Mar;402(2):265-272.
75. Dionigi G, Bacuzzi A, Lavazza M, Inversini D, Pappalardo V, Boni L, Rausei S, Barczynski M, Tufano RP, KimHY, Anuwong A. Transoral endoscopic thyroidectomy via vestibular approach: operative steps and video. Gland Surg. 2016 Dec;5(6):625-627.
76. Ierardi AM, Pappalardo V, Liu X, Wu CW, Anuwong A, KimHY, Liu R, Lavazza M, Inversini D, Coppola A, Floridi C, Boni L, Carrafiello G, Dionigi G. Usefulness of CBCT and guidance software for percutaneous embolization of a lymphatic leakage after thyroidectomy for cancer. Gland Surg. 2016 Dec;5(6):633-638.
77. Russell JO, Noureldine SI, Al Khadem MG, Chaudhary HA, Day AT, KimHY, Tufano RP, Richmon JD. Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform. J Robot Surg. 2017 Feb; Epub ahead of print.
78. Dionigi G, Lavazza M, Bacuzzi A, Inversini D, Pappalardo V, Tufano RP, KimHY, Anuwong A. Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): From A to Z. Surg Technol Int. 2017 Feb 7;30:103-112.
79. Chang YW, Kim HS, Jung SP, KimHY, Lee JB, Bae JW, Son GS. Significance of micrometastases in the calculation of the lymph node ratio for papillary thyroid cancer. Ann Surg Treat Res. 2017 Mar;92(3):117-122.
80. Dionigi G, Bacuzzi A, Lavazza M, Inversini D, Boni L, Rausei S, KimHY, Anuwong A. Transoral endoscopic thyroidectomy: preliminary experience in Italy. Updates Surg. 2017 Jun;69(2):225-234.
81. Dionigi G, KimHY, Wu CW, Lavazza M, Materazzi G, Lombardi CP, Anuwong A, Tufano RP. Neuromonitoring in endoscopic and robotic thyroidectomy. Updates Surg. 2017 Jun;69(2):171-179.
82. Russell JO, Clark J, Noureldine SI, Anuwong A, Al Khadem MG, KimHY, Dhillon VK, Dionigi G, Tufano RP, Richmon JD. Transoral thyroidectomy and parathyroidectomy - A North American series of robotic and endoscopic transoral approaches to the central neck. Oral Oncol. 2017 Aug;71:75-80.
83. Chang EHE, KimHY, Koh YW, Chung WY. Overview of robotic thyroidectomy. Gland Surg. 2017 Jun;6(3):218-228.
84. Dionigi G, Lavazza M, Wu CW, Sun H, Liu X, Tufano RP, KimHY, Richmon JD, Anuwong A. Transoral thyroidectomy: why is it needed? Gland Surg. 2017 Jun;6(3):272-276.
85. Anuwong A, KimHY, Dionigi G. Transoral endoscopic thyroidectomy using vestibular approach: updates and evidences. Gland Surg. 2017 Jun;6(3):277-284.
86. Richmon JD, KimHY. Transoral robotic thyroidectomy (TORT): procedures and outcomes. Gland Surg. 2017 Jun;6(3):285-289.
87. Anuwong A, Sasanakietkul T, Jitpratoom P, Ketwong K, KimHY, Dionigi G, Richmon JD. Transoral endoscopic thyroidectomy vestibular approach (TOETVA): indications, techniques and results. Surg Endosc. 2017 Jul ; Epub ahead of print.
88. KimHY*, Chai YJ, Dionigi G, Anuwong A, Richmon JD. Transoral robotic thyroidectomy: lessons learned from an initial consecutive series of 24 patients. Surg Endosc. 2017 Jul ; Epub ahead of print.
89. Chai YJ, Chung JK, Anuwong A, Dionigi G, KimHY, Hwang KT, Heo SC, Yi KH, Lee KE. Transoral endoscopic thyroidectomy for papillary thyroid microcarcinoma: initial experience of a single surgeon. Ann Surg Treat Res. 2017 Aug;93(2):70-75.
90. Lavazza M, Rausei S, Pappalardo V, Inversini D, Mangini M, Ierardi AM, Anuwong A, KimHY, Carrafiello G, Dionigi G. Topographical Variations between Splenic Flexure and Spleen: A Study with CT Image-Based Reconstruction. Surg Technol Int. 2017 Oct ; Epub ahead of print.
91. Wang T, KimHY, Wu CW, Rausei S, Sun H, Pergolizzi FP, Dionigi G. Analyzing cost-effectiveness of neural-monitoring in recurrent laryngeal nerve recovery course in thyroid surgery. Int J Surg. 2017 Oct ; Epub ahead of print.
92. Dionigi G, Chai YJ, Tufano RP, Anuwong A, KimHY*. Transoral endoscopic thyroidectomy via a vestibular approach: why and how? Endocrine. 2017 Oct ; Epub ahead of print.
93. KimHY, Liu X, Sun H, Chai YJ, Chung WY, Dionigi G. Monitoring the Bifurcated Recurrent Laryngeal Nerve. J Endocr Surg. 2017 Jun;17(2):31-41.
94. KimHY, Liu X, Sun H, Wu CW, Chai YJ, Chung WY, Tufano R, Dralle H, Lavazza M, Dionigi G. Medico-Legal Issues of Intraoperative Neuromonitoring in Thyroid Surgery. J Endocr Surg. 2017 Jun;17(2):42-56.
95. KimHY, Sun H, Chai YJ, Tufano R, Dralle H, Navarra G, Dionigi G, the Korean Intraoperative Neural Monitoring Society (KINMoS). Loss of the Neuromonitoring Signal on the First Side in Planned Total Thyroidectomy. J Endocr Surg. 2017 Sep;17(3):89-95.
96. KimHY, Liu X, Wu CW, Chai YJ, Dionigi G. Future Directions of Neural Monitoring in Thyroid Surgery. J Endocr Surg. 2017 Sep;17(3):96-103.
97. Dionigi G, Tufano RP, Russell J, KimHY*, Piantanida E, Anuwong A. Transoral thyroidectomy: advantages and limitations. J Endocrinol Invest. 2017 Nov;40(11):1259-1263.저서
갑상선 부갑상선 외과학 (2010 서울대학교 출판부)
내분비외과학 (2012 군자출판사)Research
Research Topic
1) 로봇 갑상선 수술
로봇 갑상선 수술은 3D 시야의 다관절 로봇팔 수술장비를 이용하여 내시경 수술보다 한층 정밀하고 안전한 수술을 시행하는 방법이다. 그 중 김훈엽 교수가 세계 최초로 개발한 독창적인 로봇 경구 갑상선 수술(transoral robotic thyroidectomy, TORT)은 입 안을 통해 수술용 로봇을 넣어 갑상선을 수술하는 방법으로, 수술 부위가 전혀 노출되지 않고 아예 흉터가 남지 않는 획기적인 수술법이다. 수술 후 한 달 정도면 입안 수술 상처가 사라지며, 수술 후 통증도 기존 로봇 갑상선 수술에 비해 확연히 적을 뿐 아니라, 가장 근접한 부위에서 정밀하게 갑상선을 절제함으로써 수술 후 목소리의 변화도 거의 없어 환자들의 만족도가 높다. 진정한 의미의 갑상선에 대한 최소 침습 수술(minimally invasive surgery)로도 인정 받고 있다. 이 수술법은 기술적 완성도 및 임상적 안전성을 세계적으로도 인정 받아, 미국 존스홉킨스대학병원과 클리브랜드 클리닉 등 세계 유수의 병원에 수술법을 전수했으며, 이 뿐 아니라 미주, 유럽, 아시아 각국의 의료진이 앞 다투어 수술방법을 전수받아 가고 있어 국제적으로 의료한류를 이끌고 있다.
김훈엽 교수는 여기에 그치지 않고, 현재 진행성 갑상선암 환자의 치료를 위한 로봇 경구 경부 곽청술 (transoral robotic neck dissection) 술기를 개발 중이며, 로봇 경구 갑상선 수술에 최적화된 새로운 수술용 로봇 시스템과 관련된 수술 기구를 개발하기 위한 연구를 지속하고 있고, 이와 관련하여 수술용 내시경/복강경 청결 유지 장치 및 관련 기술에 관한 특허를 다수 출원하였다.
2) 수술 중 신경모니터링
갑상선 수술 중 신경모니터링법(intraoperative neuromonitoring, IONM)은 갑상선 수술 중 손상받기 쉬운 후두신경에 대해 전류 자극을 통한 근전도를 확인함으로써 수술 후 환자의 목소리를 완벽에 가깝게 보존하는 새로운 수술기법이다. 수술 시 예상치 못한 신경의 주행경로 확인 및 등에도 사용될 수 있어 이로 인해 발생할 수 있는 신경손상 위험도를 낮추고, 수술 중 예기치 않은 신경손상 여부를 확인할 수 있어 현재 미국, 유럽 등의 의료 선진국에서는 대부분의 갑상선 수술에 사용되고 있다. 김훈엽 교수는 국내에서 선도적으로 이를 수술에 도입하여 기존의 절개 수술법에서부터 로봇 갑상선 수술에 이르기까지 광범위하게 적용함으로써 수술 후 신경손상으로 인한 합병증을 획기적으로 낮추었으며, 특히 로봇 경구 갑상선 수술은 후두신경을 정밀하게 잘 확인할 수 있는데다가 이 신경모니터링을 병합함으로써 완벽에 가까운 수술 후 목소리 보존을 보이고 있다. 또한 김훈엽 교수는 이 신경모니터링법으로 확인할 수 있는 후두 신경의 병태 생리와 손상 기전 등을 동물 실험 및 임상에서 규명하기 위한 연구를 지속하고 있으며, 이와 관련한 수십 편의 SCI급 논문을 저술하였다. 특히 해당분야의 선도적인 외국 연구자들과 공동 연구를 활발히 진행하고 있으며, 이로 인해 최근 국제신경모니터링연구회(international neural monitoring study group, INMSG)의 운영 위원으로 임명 되었다.
연구키워드(국문) 로봇 수술, 최소 침습 수술, 로봇 갑상선 수술, 경구 갑상선 수술, 갑상선 암, 수술 중 신경모니터링, 후두신경
(영문) robotic surgery, robotic thyroidectomy, transoral approach, thyroid cancer, intraoperative neuromonitoring, recurrent and superior laryngeal nerve
학회발표자료
년도
학회 이름
발표 내용
장소
2014
2014 대한갑상선내분비외과학회 춘계학술대회
Robotic Thyroidectomy Using Bilateral Axillo-Breast Approach: Comparison of Surgical Results with Open Conventional Thyroidectomy
조선대병원
2014
2014 대한갑상선내분비외과학회 춘계학술대회
New Harmonic ACE+ Shears
with Adaptive Tissue Technology를
이용한 갑상선 수술
조선대병원
2014
2014 대한외과학회 춘계학술대회
새로운 수술 기구
(enery based device)의
종류 및 소개
코엑스, 서울
2014
Korean Society for
Head and Neck Oncology
30th Anniversary
International Conference
Recent Advances in Intraoperative Neuromonitoring in Thyroid Surgery
밀레니엄 힐튼 호텔, 서울
2014
2014 Annual Congress
of ISOPES
(International Society
of Oncoplastic
Endocrine Surgeons)
Safety of Usage of
Ultrasonic Energy Device
Around RLN
해운대백병원, 부산
2014
14th World Congress
of Endoscopic Surgery
The Efficacy of Intraoperative Neuromonitoring (IONM) During Robotic Thyroidectomy : Prospective, Randomised Case-control Evaluation
Paris, France
2016
2016 KAROS (한국외과로봇수술연구회)
Robotic Transoral Thyroidectomy:
Initial Series and Technical Refinements
신촌 세브란스 병원
2016
2016 International Society of Oncoplastic Endocrine Surgeons
Spindle Epithelial Tumor With Thymus-like Differentiation (SETTLE) :
Case Report and Review
서울 아산병원
2016
86th American Thyroid Association
Thermal Injury of The Recurrent Laryngeal Nerver By Thunderbeat: Findings From Continous Intraoperative Neuromonitoring
Denver, Colorado
2016
2016 Endocrine Seminar of First Central Hospital of Mongolia
Management guideline and surgical approach
for thyroid nodule and cancer
울란바토르, 몽골
2016
2016 Annual Conference of the Royal College of Otolaryngologist Head and Neck Surgeons of Thailand
Guideline-based Review
of Intraoperative Neuromonitoring(IONM)
in Thyroid Surgery
The Royal College of Otolaryngologist Head and Neck Surgeons of Thailand
2016
2016 Annual Congress
of ISOPES
(International Society
of Oncoplastic
Endocrine Surgeons)
Overview of Endoscopic Thyroidectomy and Transoral Robotic Thyroidectomy
서울 아산병원
2016
성균관의대 강북삼성병원 외과학교실 Surgery Grand Round
Intraoperative Neuromonitoring
in Thyroid Surgery
강북삼성병원, 서울
2016
Guangzhou Thyroid Cancer Forum 2016
Robotic Thyroid Surgery
Sun Yat-sen University, Guangzhou, China
2016
The 8th International Endoscopic Thyroidectomy in Soft Cadaver 2016
Robotic Thyroid Surgery:
Overview, Procedures and Techniques
Thai Endocrine Surgeons Society (TESS)
2016
5th Congress of Chinese Thyroid Association (CTA 2016)
Transoral Robotic Thyroid Surgery :
The New and Ideal Approach
for Robotic Thyroid Surgery
Chinese Thyroid Association (CTA)
2016
The 86th Annual Meeting
of American Thyroid Association (ATA)
Intraoperative Nerve Monitoring (IONM) Of Recurrent Laryngeal Nerve.
Comparison Between Thyroidectomy without IONM, with intermitted (IIONM) and with Continuous
Denver, Colorado
2016
The 8th Clinical
Robotic Surgery Association
(CRSA)
Worldwide Congress
Robotic transoral
thyroidectomy
인터불고 호텔, 대구
2016
2016 International Neural Monitoring Study Group (INMSG)
Safety of C-IONM
in endoscopic thyroidectomy
International Neural Monitoring Study Group (INMSG), USA
2017
2017 K-NOTES 춘계학술대회
Transoral Thyroidectomy
고려대학교병원 유광사홀
2017
2nd International Thyroid NOTES Conference
Updates in Remote-Access Thyroid Surgery
Bangkok, Thailand
2017
2nd International Thyroid NOTES Conference
Robotic Transoral Thyroidectomy :
Over 100 Cases Experience
Bangkok, Thailand
2017
40th Annual Meeting of KSELS & 2017 International Symposium
Transoral Robotic
Thyroidectomy (TORT)
BEXCO, 부산
2017
Transoral Thyroidectomy Workshop
Keynote : Transoral Robotic
Thyroidectomy
Prince of Wales Hospital,
Hong Kong
2017
13th National Endoscopic Laparoscopic Surgery Congress
of Turkey
Robotic surgery:
an actual fantasy
or the future of surgery?
Antalya, Turkey
2017
13th National Endoscopic Laparoscopic Surgery Congress
of Turkey
Robotic transoral thyroidectomy
Antalya, Turkey
2017
American Head and Neck Society (AHNS) 2017 Annual Meeting
Comparative Analysis of Two Robotic Thyroidectomies:
Transoral vs Bilateral Axillo-Breast Approach
San Diego, USA
2017
2017 1st Workshop of Korean Intraoperative
Neural Monitoring Society
Procedures and Safety of C-IONM
부산대학교병원
2017
International Federation of Otorhinolaryngological Societies (IFOS) 2017 - ENT World Congress
Comprehensive management
of the laryngeal nerves risks during thyroid surgery (experts point of view)
Paris, France
2017
3rd World Congress
On Thyroid Cancer
Advances in Robotic/Endoscopic Thyroidectomy : Bilateral Axillo-Breast Approach (BABA)
Boston, USA
2017
2017년 대한외과술기연구회 추계 심포지엄
Transoral Robotic
Thyroidectomy (TORT)
서울대학교 삼성암연구동 2층 이건희홀
2017
The First Ege Innovation &
Thyroid Surgery Workshop
Transoral Robotic
Thyroidectomy (TORT)
Izmir, Turkey
2017
9th Worldwide Congress of the Clinical Robotic Surgery Association
Transoral robotic thyroidectomy
Chicago, USA
2017
아주대학교병원
외과학교실 SGR
Transoral Robotic
Thyroidectomy (TORT)
아주대학교병원
2017
2nd Endocrine and
Head & Neck Symposium
Intraoperative Neuromonitoring (IONM)
in Robotic Thyroidectomy
Pamela Youde Nethersole Eastern Hospital,
Hong Kong
2017
2nd Endocrine and
Head & Neck Symposium
Transoral Robotic Thyroidectomy (TORT):
How I do it?
Pamela Youde Nethersole Eastern Hospital,
Hong Kong
2017
The 9th International Endoscopic Thyroidectomy Workshop in Soft Cadaver
MIS for Thyroid Cancer :
An Update
Bangkok, Thailand
2017
87th Annual Meeting of
the American Thyroid Association
Robotic Transoral Thyroidectomy :
Experience of 100 Cases Over 1 Year
Victoria, BC, Canada
2017
87th Annual Meeting of
the American Thyroid Association
Trans-Oral Robotic Thyroid Surgery
for Papillary Thyroid Cancer
Victoria, BC, Canada
2017
87th Annual Meeting of
the American Thyroid Association
Tumorspheres of Papillary Thyroid Cancer
Have Cancer Stem Cell Properties
Victoria, BC, Canada
2017
Clinical Congress 2017
of American College of Surgeons
Robotic Transoral Thyroidectomy
San Diego, USA
2017
Annual Congress of
Korean Surgical Society 2017
Trouble Shooting,
Tips & Tricks and New System (Xi) in TORT
그랜드힐튼호텔, 서울
2017
대한신경모니터링학회 창립 기념 학술대회
Amplitude and Latency Pofiles While EMG Tube Positioning in C-IONM
코리아나호텔, 서울
2017
대한신경모니터링학회 창립 기념 학술대회
Da Vinci Robotic Thyroidectomy with IONM : Transoral Approach
코리아나호텔, 서울
2017
Current Concepts in the Management of Thyroid and Parathyroid Tumors with Transoral Thyroidectomy
Transoral Robotic Thyroidectomy
Johns Hopkins University, USA
2017
2017 Guangzhou Clinical Medical Association Thyroid Cancer Managment Symposium
Transoral Robotic Thyroidectomy
Guanzhou, China
2017
Transoral Thyroidectomy Workshop
Keynote : Transoral Robotic
Thyroidectomy
Prince of Wales Hospital,
Hong Kong
2017
2018 대한갑상선내분비외과학회 Winter School
Transoral Thyroidectomy
고려대학교 의과대학 유광사홀
2017
2017년 대한갑상선내분비외과학회 추계심포지엄
Robotic transoral thyroidectomy:
Experience of initial 100cases
of papillary thyroid carcinoma over 1 year
강남세브란스병원 3층 대강당
2017
2017 Global Breast Cancer Conference
Reactive oxygen species modulator 1 (Romo1) is a potential clinical parameter in breast cancer :
In vitro study using breast cancer cell lines
제주 신라호텔
2017
2017년 대한갑상선내분비외과학회 춘계학술대회
Robotic Transoral Thyroidectomy:
Experience of 100Cases Over 1 Year
제주대학교병원
대강당
2017
2017년 대한갑상선내분비외과학회 춘계학술대회
Safety of Harmonic ACE+ in Recurrent Laryngeal Nerve Dissection Compared with Harmonic ACE: Lessons From Continuous Intraoperative Neuromonitoring (CIONM) in Swine Models
제주대학교병원
대강당
2017
2017년 대한갑상선내분비외과학회 춘계학술대회
Thermal injury of the recurrent laryngeal nerve by Harmonic Focus+ during thyroid surgery:
Lessons from Continuous Intraoperative Neuromonitoring (CIONM) in Swine Models
제주대학교병원
대강당
2017
87th Annual meeting of
American Thyroid Association
Robotic Transoral Thyroidectomy:
Experience of 100Cases Over 1 Year
Victoria, BC, Canada
2017
Annual Congress
of Korean Surgical Society 2017
Reactive Oxygen Species Modulator 1 (Romo1) Overexpression Predicts Unfavorable Prognosis
in Breast Cancer Patients
그랜드힐튼호텔, 서울
2017
Annual Congress
of Korean Surgical Society 2017
Comparative Analysis of Transoral Robotic Thyroidectomy(TORT) versus Bilateral Axillo-Breast Approach Robotic Thyroidectomy:
A Retrospective Study
with Propensity Score Matching
그랜드힐튼호텔, 서울