经胸壁入路腔镜下甲状腺全切除术20例报告  

Chest Wall Approach Endoscopic Total Thyroidectomy:a Report of 20 Cases

作　　者：周鑫[1] 张思宇[1] 苏国强[1] 

机构地区：[1]厦门大学附属第一医院普外科,厦门361003

出　　处：《中国微创外科杂志》2014年第8期735-737,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨经胸壁入路腔镜下甲状腺全切除术的可行性和安全性。方法2008年1月～2012年12月，对20例结节性甲状腺肿，经胸壁入路使用超声刀建立皮下空间，置入腔镜和操作器械，应用颈部缝线悬吊技术显露甲状腺，超声刀行甲状腺全切除术。结果手术均获成功，无中转开放手术，手术时间90～180min，平均120min。术中出血15～40ml，平均20ml。术后住院时间4～7d，术后暂时性声音嘶哑1例，无大出血、切口感染、皮下积液等并发症。结论经胸壁入路腔镜下甲状腺全切除术安全，可行，美容效果好。Objective To explore the feasibility and safety of endoscopic total thyroidectomy via chest wall approach. Methods Endoscopic total thyroidectomy via chest wall approach was performed in 20 patients with nodular goiter from January 2008 to December 2012. Subcutaneous operative space was created through an unilateral areola incision, through which laparoscope and surgical instruments were introduced. The neck suture suspension technique was used to reveal the thyroid gland. By using an ultrasonic scalpel, the thyroid was separated and removed completely. Results All the operations were successfully completed without conversions to open surgery. The operation time was 90 -180 rain （mean, 120 min）. The blood loss was 15 -40 ml （mean, 20 ml）. The postoperative hospital stay ranged from 4 to 7 days （mean, 5.8 days）. There was 1 case of temporary hoarseness. No severe hemorrhage, wound infection, or subcutaneous effusion was found. Conclusion Endoscopic total thyroidectomy via chest wall approach is a safe and feasible procedure.

关 键 词：腔镜 甲状腺全切除术 结节性甲状腺肿 

分 类 号：R653[医药卫生—外科学]