经上胸前壁入路腔镜甲状腺切除术21例  

Endoscopic thyreoidectomy via upper anterior thoracic approach in 21 cases

作　　者：谭建中[1] 张洪武[1] 李理[1] 余子牛[1] 黄程[1] 方亮[1] 

机构地区：[1]湖南省湘潭市第一人民医院肿瘤外科,湖南湘潭411101

出　　处：《中国内镜杂志》2006年第6期635-637,共3页China Journal of Endoscopy

摘　　要：目的探讨经上胸前壁入路腔镜甲状腺切除术的可行性及临床价值。方法应用经上胸前壁入路腔镜甲状腺切除术完成手术21例。结果21例手术均获成功,无中转开放手术,手术时间60～330min,平均(165±25)min,术中出血2～50mL,平均(20±5)mL,术后无严重皮下气肿及呼吸困难,无喉返、喉上神经、甲状旁腺损伤,无术后出血及伤口感染,原发性甲亢患者无甲状腺危象。结论经上胸前壁入路腔镜甲状腺切除术安全可行,皮下分离范围小,手术适应范围广,能达到较好的微创效果与好的美容效果。[Objective] To explore the feasibility and clinical value of endoscopic thyreoidectomy via upper anterior thoracic approach. [Methods] Endoscopic thyreoidectomy via upper anterior thoracic approach was successfully performed in 21 eases. [Results] Endoscopic thyreoideetomy via upper anterior thoracic approach was successfully performed in all the 21 patients without transforming open thyreoideetomy. The operative duration was 60-330 min and 165±25 min on average. The blood loss was 2-50 mL and 20±5 mL on average. There was no postoperative complications such as severe subcutaneous emphysema, dyspnea, recurrent laryngeal nerve, superior laryngeal nerve or parathyroid body injury. Postoperative hemorrhage and wound infection did not exist. No thyroid crisis oecurred in those patients with primary hyperthyroidism. [Conclusions] Endoscopic thyreoidectomy via upper anterior thoracic approach is a safe and feasible operative method with advantages such as small subcutaneous dissection range, wide operative indications, better mini-trauma effect and perfect cosmetic result.

关 键 词：内镜 上胸前壁入路 甲状腺切除术 甲状腺疾病 

分 类 号：R581[医药卫生—内分泌]