内镜下双侧甲状腺切除16例报告  

Endoscopic bilateral thyroidectomy in 16 cases

作　　者：周锦[1] 彭兵[1] 廖波[1] 陈小东[1] 李春林[1] 陈思瑞[1] 

机构地区：[1]四川大学华西医院普外科,四川成都610041

出　　处：《中国内镜杂志》2009年第11期1170-1172,共3页China Journal of Endoscopy

摘　　要：目的探讨乳晕入路下内镜双侧甲状腺切除术的可行性。方法2006年11月～2007年7月该院行内镜下乳晕途径入路双侧甲状腺切除术16例。结果8例行内镜下双侧甲状腺切除术,3例行内镜下双侧甲状腺次全切除术,4例行内镜下右侧甲状腺全切加左侧甲状腺次全切术,1例因术中出血,中转开放手术。病理诊断甲状腺腺瘤5例,结节性甲状腺肿6例,甲状腺乳头状癌4例,甲状腺髓样癌1例。术后24～48 h拔除引流管,无神经或甲状旁腺损伤等并发症。手术时间90～160 min,平均106 min,术中出血20～40 mL,平均32 mL,术后住院时间4～6 d,平均5 d,随访12个月,无并发症发生。结论经乳晕途径的内镜双侧甲状腺切除术安全可行,该技术将会逐渐得到更广泛的应用。[ Objective ] To explore the feasibility of endoscopic bilateral thyroidectomy through the approach of breast areola. [Methods] Endoscopic bilateral thyroidectomy via approach of breast areola was carried out in 16 cases from Nov 2006 to June 2007. [Results] The thyroidectomy was performed successfully under endoscope in 15 cases with an operation time of 90-160 min （mean 106 min）, including 8 cases of bilateral thyroidectomy, 3 cases of bilateral subtotal thyroidectomy, 4 cases of right-side thyroidectomy and left-sided subtotal thyroidectomy. A conver- sion to open surgery was required in 1 case owing to the bleeding of thyroid. Pathological diagnosis revealed 5 cases of thyroid adenoma, 6 cases of nodular goiter, 5 cases of thyroid carcinoma. The drainage tubes were removed at 24- 48 hours after operation. Neither nerve injury nor parathyroid injury occurred. The duration of postoperative hospital stay was 4-6 days with the mean of 5 days. There was no complication during the follow-up of 12 months in all the cases. And the patients were satisfied with cosmetic effects. [ Conclusions ] Endoscopic bilateral thyroidectomy via approach of breast areola is feasible and effective with satisfactory cosmetic results.

关 键 词：内镜 双侧甲状腺切除术:甲状腺疾病 

分 类 号：R581[医药卫生—内分泌]