经胸乳入路腔镜下甲状腺手术的临床应用  

Experience of endoscopic thyroidectomy through thoracoareolar approach

作　　者：殷茜[1] 刘谨文[1] 沈文状[1] 杨筱嵬[1] 董鸿[1] 杨志芳[1] 李兴睿[1] 易继林[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院甲状腺乳腺外科,武汉430030

出　　处：《临床外科杂志》2012年第8期545-547,共3页Journal of Clinical Surgery

摘　　要：目的探讨经胸乳入路腔镜下甲状腺手术的技巧和临床应用效果。方法回顾分析2010年9月至2012年2月116例施行经胸乳入路腔镜下甲状腺手术的临床资料。112例完成腔镜手术，其中单侧腺叶大部切除94例，双侧腺叶大部分切除12例，甲状腺全切除4例，峡部切除2例。结果平均手术时间115min，术后平均引流量75ml，术后平均住院时间5．4d，术后无低钙和喉返神经功能障碍症状。随访2～18个月，均未见复发，所有患者均对美容效果满意。结论在严格掌握适应证的前提下，经胸乳入路腔镜下甲状腺手术是一种安全、有效和可行的手术方式，并且具有良好的美观效果。Objective To investigate the operation technique and safeness of endoscopic thyroid- ectomy through thoracoareolar approach. Methods From September 2010 to February 2012,116 patients underwent trans-thoracoareolar endoscopic thyroidectomy. All the clinical data were analyzed retrospective- ly. Results Trans-thoracoareolar endoscopic thyroidectomy was performed successfully in 112 patients,in- cluding 94 unilateral subtotal thyroidectomies, 12 bilateral subtotal thyroidectomies,4 total thyroidectomies and 2 isthmectomies. The average operation time was 115 minutes; the average postoperative drainage vol- ume was 75 ml. The average postoperative hospital stay was 5.4 days. No symptoms of hypocalcemia or re- current laryngeal nerve dysfunction were observed. No relapse was reported and all the patients were satis- fied with cosmetic effects of the surgery. Conclusion Under careful case selection, endoscopic thyroidec- tomy is a feasible, effective and safe technique of thyroid surgery with cosmetic advantage.

关 键 词：腔镜 甲状腺手术 甲状腺疾病 

分 类 号：R653[医药卫生—外科学]