完全乳晕入路腔镜甲状腺切除术48例临床分析

目的：探讨完全乳晕入路腔镜甲状腺切除术的临床效果和可行性。方法回顾性分析48例完全乳晕入路腔镜甲状腺切除术的临床资料。结果48例患者均手术成功。术后胸壁皮下瘀斑2例，其中1例伴皮下积液；皮下气肿1例；声音嘶哑1例；胸前壁不适感3例；胸壁不适感4例；无颈部不适感病例；无甲状旁腺及气管损伤并发症出现。乳晕切口愈合美观。结论完全乳晕入路腔镜甲状腺切除术治疗甲状腺疾病只要合理选择病例，规范手术操作，效果满意。

Clinical experience of 48 cases of endoscopic thyroidectomy via completely areola approach

Objective To study the clinical effect and feasibility of endoscopic thyroidectomy via completely areola ap-proach. Methods The clinical data of 48 cases of endoscopic thyroidectomy via completely areola approach were ana-lyzed. Results The operations were successfully in all 48 cases. Postoperative chest wall subcutaneous ecchymosis were in 2 cases, including 1 case subcutaneous effusion;There were 1 case subcutaneous emphysema, 1 case hoarseness, 3 cases chest anterior wall discomfort, 4 cases chest wall discomfort. None of the patients underwent the neck discomfort, parathy-roid gland and tracheal injury. Areola incision was healing well. Conclusion Endoscopic thyroidectomy via completely areola approach was safe and effective with reasonable choice cases for treating the thyroid disease.