经上胸部无注气内镜下甲状腺肿瘤切除

[摘要] 目的 探讨经上胸部无注气内镜下治疗甲状腺肿瘤的可行性及手术疗效。 方法 2005年7月至2010年9月期间治疗的68例患者中，女64例，男4例；年龄18～65岁，平均 34 ± 3.0岁。甲状腺瘤64例，结节性甲状腺肿4例，甲状腺癌4例。用鼻内镜经上胸部切口，局部牵拉形成操作腔;内镜下行甲状腺部分切除术64例，甲状腺叶及峡部切除4例。结果 68例患者切口均Ⅰ期愈合，无喉返神经麻痹。随访2～60个月，无肿瘤复发。术后疼痛轻，美容效果满意。 结论 经上胸部内镜下甲状腺肿瘤手术，操作简便，创伤小,颈部无瘢痕。

Gasless endoscopic surgery through the upper chest to treat thyroid tumor

[Abstract] Objective: To investigate the possibility of a scarless neck surgery under endoscopic vision for the treatment of thyroid tumor and to observe the results of this procedure. Materials and Methods: Patients: A total of 68 patients (64 women and 4 men) underwent the surgery. Their ages ranged from 18 to 65 years, with a mean age of 34 ± 3.0 years. There were 64 cases of thyroid adenoma, 4 cases of nodular goiter. Surgical methods: An incision was made on the surface of the chest bone. The operation cavity was made by dragging the skin. Sixty-four patients underwent thyroid tumor-dectomy, Sixty-four patients underwent partial thyroid lobectomy, 4 patients underwent thyroid lobectomy, and 4 patients underwent total thyroidectomy. Results: All 68 cases showed healing in one stage. None of the cases showed paralysis of the reverse laryngeal nerve or tumor recurrence within the next 2 to 60 months of follow-up. The patients experienced slight pain after the operation. The patients were satisfied with the cosmetic results of the surgery. Conclusion: The mini-invasive gasless endoscopic surgery through the upper chest, which was performed to treat thyroid tumor in the neck did not leave any scar, was easy to handle, and gave good cosmetic results.