经乳晕入路腔镜甲状腺大部切除治疗原发性甲状腺功能亢进61例经验  

Experience in the treatment of primary hyperthyroidism with endoscopic subtotal thyroidectomy via the nipple areola in 61 cases

作　　者：王存川[1] 王晨曦[1] 许朋[1] 陈鋆[1] 胡友主[1] 

机构地区：[1]暨南大学附属第一医院微创外科中心,广州510630

出　　处：《外科理论与实践》2004年第6期473-475,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨经乳晕途径腔镜甲状腺大部切除治疗原发性甲状腺功能亢进(甲亢)的方法和可行性。方法:2002年4月至2004年10月为61例原发性甲亢病人施行了乳晕途径入路的腔镜甲状腺大部切除术。结果:58例成功完成手术,手术时间为96.4(65～270)min,平均失血量15.5ml,术后呈住院时间5.9(5～9)d。术后甲状腺危象者1例,术后6～60d呈暂时性声音嘶哑者1例、术后半年甲亢复发的1例。3例中转为开放手术。结论:腔镜甲亢手术是一种安全的手术方法,术后近期效果满意,与传统术式相比,具有颈部无瘢痕的良好美容效果。术后长期效果需作进一步观察。Objective To discuss the feasibility of treating primary hyperthyroidism by subtotal thyroidectomy under endoscopy via the nipple areola. Methods Endoscopic subtotal thyroidectomy via the nipple areola was performed in 61 patients with primary hyperthyroidism from April 2002 to October 2004. Results The operation was successfully carried out in 58 cases, whereas in 3 cases it was converted to open surgery. The operative time length ranged from 65 to 270 min (mean 96.4 min). The average blood loss was 15.5ml. The postoperative hospital stay ranged from 5 to 9 days (mean 5.9 days). There was 1 case of temporary post operative thyroid crisis, 1 case of temporary hoarseness (6-60 days after surgery), and 1 case of recurrence 6 months after surgery, which was later cured with radioiodine. Conclusions Endoscopic thyroidectomy is a safe method of treatment which brings satisfying postoperative results. Compared to conventional operation, it presents a significant cosmetic advantage by leaving no scar around the neck. However, its long-term effect needs to be further confirmed by longer observations.

关 键 词：腔镜 甲状腺功能亢进 甲状腺切除术 外科手术 

分 类 号：R653[医药卫生—外科学]