经胸骨前径路三孔法内镜甲状腺切除术的体会  

Three-port endoscopic thyroidectomy via anterior chest wall approach

作　　者：张勇 吴永红 

机构地区：[1]铜陵市第四人民医院,安徽铜陵244000

出　　处：《腹腔镜外科杂志》2012年第5期378-379,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨经胸骨前径路三孔法内镜甲状腺切除术的临床疗效及应用价值。方法:回顾分析为17例患者经胸骨前径路行三孔法内镜甲状腺切除术的临床资料。结果:17例手术均获成功,无一例中转开放手术,未损伤喉上神经、喉返神经及甲状旁腺。手术时间100～150 min,平均134 min;术中出血量30～50 ml,平均42 ml。患者对术后美容效果均非常满意。结论:选择合适的手术病例,经胸骨前径路行三孔法内镜甲状腺切除术是安全可行的,疗效确切,具有很好的美容效果。Objective： To discuss the clinical efficacy and application value of three-port endoscopic thyroidectomy through anterior chest wall. Methods：The clinical data of 17 patients who underwent three-port endoscopic thyroidectomy through anterior chest wall were analyzed retrospectively. Results：Seventeen operations were all successful,without conversions to open procedures.No injuries of the superior laryngeal nerve,recurrent laryngeal nerve,or parathyroid occurred.The average operating time was 134 min（100-150 min）,average blood loss was 42 ml（30-50 ml）.All the patients were very satisfied with the cosmetic results. Conclusions：Three-port endoscopic thyroidectomy through anterior chest wall is safe and feasible for selected appropriate cases,with the advantages of excellent cosmetic results and definite therapeutic effect.

关 键 词：甲状腺肿瘤 甲状腺切除术 内窥镜检查 三孔 

分 类 号：R653[医药卫生—外科学]