胸乳入路完全腔镜甲状腺全切加中央区淋巴结清扫术  

Laparoscopic total thyroidectomy with central compartment neck dissection via anterior chest

作　　者：王勇[1] 王平[1] 

机构地区：[1]浙江大学医学院附属第二医院甲状腺外科,杭州310009

出　　处：《中华普外科手术学杂志（电子版）》2013年第4期24-24,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金项目(81000184);浙江省自然科学基金资助项目(Y2110367)

摘　　要：完全腔镜甲状腺手术将传统的颈部手术切口转移至隐蔽部位,兼顾治疗与美容效果。采用胸前入路,建立皮下空间,通过特殊拉钩显露,行甲状腺全切除和中央区淋巴结清扫术。可以结合术中神经监测技术和纳米炭甲状旁腺负显影技术保护喉返神经和甲状旁腺,对于意外切除的甲状旁腺给予自体移植。实践证明,对于低危组的早期分化型甲状腺癌,完全腔镜技术是安全可行的。Total endoscopic thyroidectomy with on neck incision, also called scarless endoscopic thyroidectomy, has shown excellent cosmesis and similar clinical outcomes for thyroid diseases produced by conventional open thyroideetomy. Total thyroidectomy and central neck dissection were performed via an anterior chest approach, using a subcutaneous operative flap and special retractors. Intraoperative neurophysiologic monitoring （IONM） and parathyroidal negative staining with carbon nanopartieles were used to prevent injury to recurrent laryngeal nerves and parathyroids. Total endoscopic thyroidectomy is a safe and effective surgical approach for patients with low-risk early differentiated thyroid carcinoma.

关 键 词：腹腔镜检查 甲状腺肿瘤 颈淋巴结清扫术 

分 类 号：R736.1[医药卫生—肿瘤]