经胸乳入路甲状腺次全切除术

目的探讨腔镜下甲状腺切除术的方法与优缺点。方法总结分析65例甲状腺肿块患者施行经胸入路腔镜下甲状腺次全切除术。结果全部手术均获成功，平均手术时间109min。术后平均住院时间5d（4—7d）。无喉返神经、喉上神经损伤及其它严重并发症。结论经胸入路腔镜下甲状腺切除术是安全可行的，且具有好的美容效果。

Endoscopic thyroidectomy via thoracic and breast approach

Objective To evaluate the feasibility and the practicality d endoscopic thyroidectomy. Methods Subtotal thyroidectomy was performed in 65 cases endoscopically, which have thyroid disease. Results Total 65 patients underwent endoscopic thyroidectomy.All cases succeeded with 109 minutes of average operation period;The average postoperative hospitalization was 5 days （4-7days）;No damage of recturrent laryngeal nerve or parathyroid glands and other severe operative complications. Compared with conventional operation, endoscopic thyroidectomy is safe and feasible,furthermore it achieves better cosmetic result.