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腔镜辅助下行分化型甲状腺癌功能性颈淋巴结清扫术(附7例)
引用本文:梁秦龙,徐荣,李树业,李继峰,宋卫琪,王子璋,郭晓东. 腔镜辅助下行分化型甲状腺癌功能性颈淋巴结清扫术(附7例)[J]. 现代肿瘤医学, 2011, 19(8): 1539-1541. DOI: 10.3969/j.issn.1672-4992.2011.08.20
作者姓名:梁秦龙  徐荣  李树业  李继峰  宋卫琪  王子璋  郭晓东
作者单位:陕西省肿瘤医院头颈外科,陕西,西安,710061
摘    要:
目的:研究腔镜辅助下行分化型甲状腺癌颈淋巴结清扫术的可行性,探索手术治疗分化型甲状腺癌的新方法。方法:为7名分化型甲状腺癌患者行腔镜辅助下功能性颈淋巴结清扫术,其中4例为甲状腺癌联合根治术。就手术的清扫范围、手术时长、术中失血量、术后病理结果、并发症、患者满意度等多方面进行分析。结果:全部病例手术顺利,清扫范围可以达到传统开放式手术范围。整体手术时长平均214分钟,平均失血量约137ml。病理显示颈部各区清扫组织均可见数目不等的淋巴结,并有部分癌转移。伤口愈合良好,无并发症,患者满意度100%。结论:在腔镜辅助下行颈淋巴结清扫术是安全可行的,较完全腔镜式和传统开放式手术,在美容、微创、疗效三方面互有补裨,相得益彰。该技术可用于分化型甲状腺癌的手术治疗。

关 键 词:微创手术  腔镜辅助  颈淋巴结清扫术  甲状腺癌

Functional neck lymph node dissection with endoscope-assisted, report of seven cases
LIANG Qinlong,XU Rong,LI Shuyie,LI Jifeng,SONG Weiqi,WANG Zizhang,GUO Xiaodong. Functional neck lymph node dissection with endoscope-assisted, report of seven cases[J]. Journal of Modern Oncology, 2011, 19(8): 1539-1541. DOI: 10.3969/j.issn.1672-4992.2011.08.20
Authors:LIANG Qinlong  XU Rong  LI Shuyie  LI Jifeng  SONG Weiqi  WANG Zizhang  GUO Xiaodong
Affiliation:LIANG Qinlong,XU Rong,LI Shuyie,LI Jifeng,SONG Weiqi,WANG Zizhang,GUO Xiaodong Shaanxi Province Cancer Hospital,Xi'an 710061,China
Abstract:
Objective:To investigate the feasibility of neck lymph node dissection with endoscope-assisted,and explore the new method for surgery treatment of differentiated thyroid carcinoma.Methods: Seven patients of differentiated thyroid carcinoma underwent functional lymph node dissection with endoscope-assisted,four of them underwent combined radical thyroidectomy.The outcomes of the study included scope of dissection,duration of the operation,amount of blood loss,pathological outcomes and complications,and satis...
Keywords:minimally invasive surgery  endoscopic assisted  neck lymph node dissection  thyroid cancer  
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