腔镜辅助颈部小切口甲状腺手术应用于甲状腺微小癌的探讨 |
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引用本文: | 姜立新,胡金晨,陈红兵,郑海涛,吴国长,郭吉田,张翼飞,吕忠船,宁进尧.腔镜辅助颈部小切口甲状腺手术应用于甲状腺微小癌的探讨[J].内分泌外科杂志,2009,3(3):170-171. |
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作者姓名: | 姜立新 胡金晨 陈红兵 郑海涛 吴国长 郭吉田 张翼飞 吕忠船 宁进尧 |
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作者单位: | 烟台毓璜顶医院腹部外科、甲状腺外科, 烟台,264000 |
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摘 要: | 目的探讨腔镜辅助颈部小切口甲状腺手术对于甲状腺微小癌的可行性、临床效果。方法回顾性分析我院行腔镜辅助颈部小切口甲状腺术式切除甲状腺微小癌9例临床资料。结果除1例中转行开放手术外,余手术均获成功,术后皮下积液1例,切缘皮肤烧伤1例,无喉返神经损伤、出血、低血钙、喉上神经损伤等并发症;术后随访3~37个月,行甲状腺超声、CT、甲状腺核素扫描检查无复发、转移。结论对低危组、无颈部淋巴结转移的分化型甲状腺微小癌腔镜辅助颈部小切口甲状腺手术是安全、可行的,美容效果良好,可与传统手术治疗效果相同。
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关 键 词: | 甲状腺微小癌 腔镜辅助手术 |
Minimally invasive video-assisted thyroidectomy on thyroid microcarcinoma |
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Authors: | JIANG Li-xin HU Jin-chen CHEN Hong-bing ZHENG Hai-tao WU Guo-chang GUO Ji-tian ZHANG Yi-fei LV Zhong-chuan NU Jin-rao |
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Institution: | JIANG Li-xin, HU Jin-chen, CHEN Hong-bing, ZHENG Hai-tao, WU Guo-chang, GUO Ji-tian, ZHANG Yi-fei, LV Zhong-chuan, NI Jin- rao. (Department of Thyroid Surgery, the Affiliated Yantai Yuhuangding Hospital of Medical College of Qingdao U- niversity, Yantai 264000, China) |
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Abstract: | Objective To explore the feasibility and efficiency of minimally invasive video-assisted thy-roidectomy on thyroid microcarcinoma, and sum up the experiences. Methods 9 patients with thyroid microcarci-noma who underwent the minimally invasive video-assisted thyroidectomy from Jan 2006 to Feb 2009, were retro-spectively studied. Results All of the patients, except 1 case converting to open thyroidectomy, underwent the minimally invasive video-assisted thyroidectomy successfully. The subcutaneous hydrops occurred in 1 patient. The skin burns around the incisions occurred in 1 patient. There were no complications of recurrent laryngeal nerve injuries, neck hematoma, hypocalcemia, or superior laryngeal nerve injuries. The follow-up period of 15 cases were from 3 months to 37 months. There were no evidences of recurrence and metastasis by both postopera-five ultrasonic/CT examination and radioiodine scintigraphy. Conclusions The minimally invasive video-assisted thyroidectomy is safe and feasible (similar to the traditional thyroidectomy), of gratifying cosmetic results, for low-risk differentiated thyroid microcarcinoma without lymph node metastasis. For the median-risk or high-risk, more patients, comparative studies and long follow-ups are necessary to draw definitive conclusions in terms of its recurrence and survival rate. |
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Keywords: | Thyroid microcarcinomar Video-assisted thyroidectomy |
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