腔镜甲状腺手术的临床应用体会

目的探讨应用腔镜进行甲状腺手术的可行性及应用价值。方法对16例甲状腺占住的患者采取胸乳晕径路腔镜甲状腺切除术。结果手术成功13例，中转开刀3例。手术60-210min，术中出血15-100mL。术后3-7d出院。无神经或甲状旁腺损伤。术后颈前无手术疤痕，3例胸前有小面积的瘀斑，2例皮下气肿，1周内全部吸收。结论腔镜甲状腺手术是安全可行的，与传统开放手术相比，具有切口隐蔽，颈部无疤痕的美容效果，尤其适合于中青年女性患者。

Clinical application of endoscopic thyroidectomy

To evaluate the feasibility and the practica lity of endoscopic thyroidectomy. endoscopic throidectomy was performed on 16 patients with thyroid tumors via the route of chest and areolae of nipple. 13 patients underwent endoscopic thyroidectomy succeeded with 60~210 minutes of operation period, while 3 converted to open operation; the volume of blood loss during the operation is 15~100 mL. The average postoperative hospitalization was 3~7 d; No injury of recurrent laryngeal nerves or parathyroid glands. No scar in the anterior neck; only 3 cases had small areas of chest congestion and 2 cases had subcutaneous emphysema, which absorbed completely in a week. [Conclusions] Compared with conventional operation, endoscopic thyroidectomy achieves better cosmetic result and with minimal incisions in concealed place, especially adapted to young female patients.