腔镜下甲状腺手术方法的技术探讨  

Technique Exploration of the Endoscopic Thyroid Surgery for Thyroid Tumors

作　　者：高友兵[1] 刘勇[1] 汪波[1] 曹庭加[1] 

机构地区：[1]广州军区武汉总医院普通外科,武汉430070

出　　处：《中国现代手术学杂志》2011年第5期328-329,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨腔镜下甲状腺手术的技巧及临床应用价值。方法回顾性总结40例腔镜下甲状腺手术,其中甲状腺腺瘤23例,结节性甲状腺肿16例,甲状腺癌1例。结果 38例腔镜手术获得成功,有2例分别因肿瘤直径达4.0 cm和快速切片为甲状腺乳头状癌而中转开放手术。术后1例发生轻度声嘶1,月后恢复;3例颈前皮肤淤斑7,d后自愈;2例发生伤口脂肪液化;未发生永久声嘶及饮水呛咳,无四肢麻木、抽搐等并发症。结论腔镜下甲状腺瘤切除术具有创伤小、恢复快、美容效果好的优点。Objective To explore the method and the clinic value of the endoscopic thyroid surgery for thyroid tumors.Methods It was retrospectively analyzed of the clinical data of 40 patients underwent endoscopic thyroidectomy via the anterior chest approach,including 23 cases suffered from thyroid adenoma,16 cases suffered from nodular goiter and 1 from papillary adenocarcinoma.Results The endoscopic thyroidectomy was succeeded in 38 patients.Two cases were converted to open thyroidectomy because of the 4 cm diameter and intraoperative-diagnosed papillary adenocarcinoma.1 patient occurred mild hoarseness and was recovered after one month.3 cases appeared cervical ecchymosis and disappeared after 7 days.And fat liquefaction was found in 2 cases＇ wounds.No permanent hoarseness,limb numbness,convulsions,nor other complications.No scar can be found in the neck and the patients were satisfied with the postoperative appearance. Conclusion Endoscopic thyroidectomy via the anterior chest approach is a convenient and effective method with good cosmetic results.

关 键 词：甲状腺切除术 腹腔镜检查 手术径路 

分 类 号：R653[医药卫生—外科学]