腔镜辅助下甲状腺手术(105例体会)  

Experience endoscope-assited thyroidectomy(A report of 105 cases)

作　　者：李朋[1] 元敏[1] 王东来[1] 胡慧[1] 于志强[1] 韦伟[1] 

机构地区：[1]北京大学深圳医院甲状腺乳腺外科,广东深圳518036

出　　处：《岭南现代临床外科》2014年第2期179-181,185,共4页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨腔镜辅助下甲状腺手术特点和适应证。方法对105例甲状腺良性疾病病例施行了腔镜辅助下甲状腺手术,对切口长度、切口位置、手术时间、术后并发症进行了总结和分析。结果 105例腔镜辅助下甲状腺手术均取得成功,其中65例单侧甲状腺切除平均手术时间为65.5 min,40例双侧甲状腺切除平均手术时间为112.4 min。手术切口最短2.0 cm,最长3.5 cm,平均2.7 cm。无手术后出血发生,2例病人手术后第二天发生了手足麻木,1例病人出现声音嘶哑,1例病人出现了声音低沉,发音费力,均给予对症治疗,随访1个月后恢复。结论腔镜辅助下甲状腺手术术式不但具有美观、微创和舒适等特点,而且可以降低甲状腺手术的副损伤。ObjectiveTo report our excrience from minimally invasive video-assisted thyroide-ctomy（MIVAT） and analyze the characteristic and indication of MIVAT. MethodsA total 105 cases with benign thyroid goiter were included this study. The incision length, incision location, operation time and complications were summarized and analyzed. Results105 cases of MIVAT were successfully accomplished..The average operation time was 65.5 min among the 65 patients with unilateral thyroidectomy,.and 112.4 min for the 40 cases of bilateral thyroidectomy..The lengths of operation incision were from 2.0 cm to 3.5 cm, the average of 2.7 cm. No hematoma occurred. Two patients felt numbness at the next day after operation, 1 case had hoarseness, and 1 patient had a deep voice. All of them were given symptomatic treatment and recovered in 1 month follow-up. ConclusionThe characteristic of MIVAT was minimally invasive,.cosmetic apperence and more comfortable,.furthermore, it could reduce the postoperative complication.

关 键 词：腔镜辅助下甲状腺手术 特点 适应证 

分 类 号：R653[医药卫生—外科学]