内镜甲状腺切除术16例分析  

Endoscopic thyroidectomy: report of 16 cases

作　　者：Michel Gagner William BInabnet 朱江帆[2] 

机构地区：[1]Division of Laparoscopic Surgery,The Mount Sinai Medical Center [2]济南军区总医院普外科,250031

出　　处：《中华普通外科杂志》2001年第9期530-531,共2页Chinese Journal of General Surgery

摘　　要：目的　应用内镜外科技术进行甲状腺切除 ,以探讨创伤小、美观的甲状腺切除新技术。方法　回顾性总结 16例内镜甲状腺切除术的方法及经验 ,并对其适应证和禁忌证进行探讨。结果甲状腺左全叶切除 7例 ,左侧大部切除 2例 ;甲状腺右全叶切除 2例 ,右侧大部切除 2例以及峡部切除 3例。手术成功 15例。同常规手术相比 ,内镜甲状腺切除有明显的美容效果 ,患者术后迅速恢复正常活动。结论　由于内窥镜的放大作用 ,术野组织结构清晰 ,由此可以避免喉返神经及甲状旁腺的损伤。同时由于手术创口小 。Objective The technique of endoscopic thyroidectomy was created by the authors. This study is to develop a new way of minimally invasive technique and achieve better cosmetic results.Method Thyroidectomy was performed in 16 cases endoscopically. The details of the operative technique were described, and the indications and contraindications were discussed in this paper. Results Left thyroidectomy (7 cases), right thyroidectomy (2 cases), subtotal bilateral thyroidectomy (7 cases) were performed endoscopically with a success rate of 15/16. Conclusion The advantages of this technique is that the operative field is very clear because of the magnification. In this way, damage to recurrent laryngeal nerve and parathyroid glands could be avoided, with better cosmetic results.

关 键 词：内窥镜 甲状腺切除术 术式 疗效 

分 类 号：R653[医药卫生—外科学]