颈腔镜双极电凝法甲状腺切除术  

Endoscopic thyroidectomy with bipolar electrocoagulation

作　　者：孙春雷[1] 陈平康[1] 史峻峰[1] 

机构地区：[1]苏州大学第四医院腔镜外科,无锡214062

出　　处：《中国微创外科杂志》2005年第1期40-41,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨颈腔镜双极电凝法甲状腺手术的可行性。　方法　采用前胸壁途径 ,主要依靠双极电凝和剪刀 ,对2 1例直径 0 7～ 5 5cm甲状腺肿瘤进行甲状腺部分切除术。　结果　 2 0例腔镜下完成手术 ,1例中转开放手术。切口总长度平均 2 2mm ,手术时间 (6 9± 4 7)min ,术中出血量 (5 5± 4 1)ml,2例术后镇痛 ,无严重手术并发症。　结论　在无超声刀情况下 ,颈腔镜甲状腺手术利用双极电凝同样可行。Objective To study the feasibility of endoscopic thyroidectomy with bipolar electrocoagulation. Methods Endoscopic partial thyroidectomy via precordial approach, mainly by using bipolar electrocoagulation and scissors, was accomplished in 21 patients with thyroid tumors with a diameter of 0.7～5.5 cm. Results The operation was accomplished endoscopically in 20 patients, whereas a conversion to open thyroidectomy was conducted in 1 patient. The mean incision length was 22 mm, the operation time was 69±47 min, and the blood loss was 55±41 ml. Postoperative analgesic treatment was required in 2 patients and no serious complications happened. Conclusions Endoscopic thyroidectomy with bipolar electrocoagulation is feasible in the absence of ultrasonic scalpel.

关 键 词：腔镜 甲状腺切除术 双极电凝 

分 类 号：R653[医药卫生—外科学]