腔镜甲状旁腺腺瘤切除术5例报告  

Endoscopic resection for parathyroid adenoma in 5 patients

作　　者：徐德龙[1] 许家鹏[1] 刘宁青[1] 吕鹏飞[1] 田玉芝[1] 马小英[2] 张全[3] 王娟茹[1] 

机构地区：[1]河北医科大学第三医院普外科,石家庄050051 [2]河北省人民医院老年病科,石家庄050051 [3]河北大学医学部附属医院,保定071000

出　　处：《中国微创外科杂志》2005年第9期734-735,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腔镜甲状旁腺腺瘤切除术的可行性.方法施行经胸入路腔镜甲状旁腺腺瘤切除术5例.结果5例手术均获成功,无中转开放手术,手术时间120～150 min,平均130 min,出血量5～15 ml,平均10 ml.手术后无出血、声嘶、呛咳、皮下积气积液和感染等并发症.5例随访6～24个月,平均14个月,治疗效果和美容效果满意.结论腔镜甲状旁腺腺瘤切除术治疗效果确切,同时具有极佳的美容效果.Objective To investigate the feasibility of endoscopic resection of parathyroid adenoma. Methods Endoscopic parathyroidectomy by anterior chest approach was performed in 5 patients with parathyroid adenoma. Results The operation was successfully accomplished in all the 5 patients, requiring no conversions to open surgery. The operating time was 120-150 min （mean, 130 min）, and the intraoperative blood loss, 5-15 ml （mean,10 ml）. No postoperative complications such as hemorrhage, hoarseness, choke, subcutaneous emphysema and effusion, or infection were seen. All the patients were followed for 6-24 months （mean,14 months）, with satisfactory curative and cosmetic results. Conclusions Endoscopic resection for parathyroid adenoma gives reliable curative effects and excellent cosmetic outcomes.

关 键 词：腔镜 甲状旁腺腺瘤切除术 

分 类 号：R736.2[医药卫生—肿瘤]