全腔镜甲状腺手术并发症及防治  

Prevention and treatment of complications in totally endoscopic thyroidectomy

作　　者：王平[1] 谢秋萍[1] WANG Ping;XIE Qiu-ping.(Department of Thyroid Surgery, the Second Affiliated Hospital of Zhejiang University, Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院甲状腺外科,浙江杭州310009

出　　处：《中国实用外科杂志》2018年第6期635-638,642,共5页Chinese Journal of Practical Surgery

摘　　要：全腔镜甲状腺手术(TET)具有手术操作相对简单、美容效果好等特点,目前最常用的入路方式是经胸前入路及经口入路,两种方式都已逐渐为甲状腺外科医生及病人接受。但开展手术的医院和医生的水平参差不齐,新手及经验不足者,容易引起各种并发症。而TET与传统开放手术(OT)相关并发症及防治措施不尽相同。对于TET并发症的防治,应严格掌握手术适应证,加强从业医师的培训。术者要求兼备OT手术经验及腔镜操作技巧,具有果断适时中转的决断,是防治严重并发症的关键。而高清设备及精细器械的应用将更有助于TET安全性的提高,甚至可优于OT。Totally endocsopic thyroidectomy （TET）, as a new procedure for thyroid disease, has been wildly welcomed by thyroid surgeons and patients due to its perfect cosmetic benefits and relatively simple manipulations.The most usual approach is transbreast and transoral in China. The complications of TET are different from open thyroidectomy （OT） , and the novice and inexperienced are prone to have complications. Strictly controlled surgical indications, normatively regulated training of practitioners should be strengthened. It is the key to prevent and cure serious complications, that operators should have experienced OT and endoscopic techniques. The application of high definition equipment and fine equipment will be more helpful for the improvement of TET security, will make TET better than OT eventually someday.

关 键 词：全腔镜甲状腺手术 经胸前入路 经口入路 并发症 

分 类 号：R6[医药卫生—外科学]