经胸乳入路的腔镜甲状腺肿瘤切除术-附56例报告

目的探讨腔镜甲状腺肿瘤切除术的方法与优缺点。方法采用胸部乳晕入路行腔镜甲状腺切除术56例,其中结节性甲状腺肿53例、甲状腺癌3例。结果成功完成手术54例。手术时间88.5(50~210)min,行单侧甲状腺肿瘤切除术12例,甲状腺单叶大部分切除16例,甲状腺双叶大部分切除24例,甲癌行甲状腺单叶并峡部全切除2例。中转开放手术2例。无神经或甲状旁腺损伤等严重并发症。术后住院时间4.2(3~7)天,术后随访1~13月,无复发,病人均对手术的美容效果满意。结论内镜甲状腺手术是一种安全、理想的手术方法,微小切口选择在身体的隐蔽位置,具有很好的美容效果。

Endoscopic thyroidectomy with 56 cases

Objective To discuss the method,the advantages and disadvantages of endoscopic thyroidectomy.Methods Endoscopic thyroidectomy via areola of breasts approach was performed in 56 patients,including 53 cases of nodular goiter,and 3 cases of thyroid carcinoma.Results The endoscopic thyroidectomy was successfully carried out in 54 cases,including tumor dissection in 12 cases,one lobe partial thyroidectomy in 16 cases,two lobe partial thyroidectomy in 24 cases,and radical thyroidectomy in 2 cases of thyroid carcinoma.The operative time length ranged from 50 to 210 min(mean 88.5min).However,the operations were converted into open surgery in 2 cases.There were no complications such as damage to recurrent laryngeal nerve or parathyroid glands.Postoperative hospital stay ranged from 3 to 7 days(mean 4.2 days).The post-operative following-up for 1 to 13 months indicated that all the patients were satisfied with the cosmetic results and the same curative effects as conventional surgery were obtained.Conclusions Endoscopic thyroidectomy is a safe and effective method of thyroid surgery.Since all the minimal incisions are on concealed parts of the body,the obvious cosmetic effect of this method is guaranteed.