3D和2D腹腔镜在改良胸乳晕径路甲状腺切除术中的应用比较  

Comparison the application of 3D versus 2D laparoscopic thyroidectomy via modified chest and mammary areola approach

作　　者：陈健[1] 郑红梅[2] 江亮[1] 邓万凯[1] 李奇志[1] 刘细国[1] 樊大庆[1] 何家林[1] 

机构地区：[1]湖北省肿瘤医院头颈外科,武汉430079 [2]湖北省肿瘤医院乳腺外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第11期1006-1008,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：2014年武汉市中青年医学骨干人才培养工程项目

摘　　要：目的:探讨3D腹腔镜在改良胸乳晕径路甲状腺切除术中的安全性、有效性和可行性,并与2D腹腔镜进行比较。方法:3D腔镜下甲状腺切除术患者26例(3D组),2D腔镜下甲状腺切除术患者34例(2D组),比较2组患者一般资料、手术时间、出血量、引流时间、引流量和术后并发症等情况。结果:3D组甲状腺癌患者8例,2D组3例,3D组恶性比例更高(P<0.05)。2组性别、年龄、肿瘤直径、病变范围、手术范围、手术时间、出血量、术后引流时间、总引流量和术后并发症等差异均无统计学意义。结论:改良胸乳晕径路完全3D腔镜下甲状腺切除术安全有效、操作便利。Objective：To explore the safety, effectiveness and feasibility of 3D laparoscopy in thyroidectomy via modified chest and mammary areola approach comparing with 2D. Method： Twenty six cases received 3D laparo-scopic thyroideetomy （3D group） and 34 cases experienced 2D （2D group）. We compared the indexes about general status, operation time, operative blood loss, duration and overall volume of postoperative drainage, complications, ete between two groups. Result：Eight cases of thyroid cancer were detected in 3D group and 3 cases in 2D group. While there was no statistical difference between two groups with respect to other observation indexes such as other general status, operation time, operative blood loss, duration and overall volume of postoperative drainage, complications, etc. Conclusion： 3D laparoscopie thyroidectomy via modified chest and mammary areola approach is a safe, effective and feasible procedure, and it may substitute the place of 2D in the future.

关 键 词：腹腔镜 改良胸乳晕径路 甲状腺切除术 

分 类 号：R653[医药卫生—外科学]