腔镜辅助颈前小切口甲状腺手术的探讨

目的:探讨腔镜辅助下小切口甲状腺手术的可行性和美容效果.方法:对128例各种甲状腺疾病患者随机分成三组,分别行传统手术、经乳晕入路腔镜手术和腔镜颈前小切口手术,比较三组的治疗效果.结果:三组手术均取得成功(其中腔镜下小切口组完成40例).手术平均时间分别为,76 min、135 min、65 min;术中平均出血量分别...

Study of Minimally Incisional Thyroidectomy with Endoscopic

Objective：To explore the feasibility and cosmetology of transcervical minimally incisional thyroidectomy assisted with endoscopic.Method：128 patients with various thyroid diseases were randomly divided into three groups.The three groups underwent traditional surgery,laparoscopic surgery via breast and minimally incisional endoscopic thyroidectomy respectively.Finally,We compared the effect of the three groups.Result：All of the three groups had been performed successfully.The group of minimally incisional endoscopic thyroidectomy had completed 40 cases.The mean operative time was 76 min,135 min and 65 min.The mean blood loss was 38mL,32 mL and 26 mL.The postoperative drainage was 76±12.5 mL,93±21.6 mL,34±11.8 mL.the Hoarseness and cough after operation was 0 case,1 case and 0 case in three group respectively.The whole group did not appear limb numbness or convulsions.Conclusions：Minimally incisional endoscopic thyroidectomy has short operation time and small intraoperative and postoperative drainage.All operations have no adverse complications.This procedure is safety,feasibility and with cosmetic results.