双乳晕腋窝人路腔镜下甲状腺切除手术的临床应用

目的探索腔镜下甲状腺切除手术更加美容微创的手术人路。方法回顾分析经双乳晕腋窝入路腔镜下甲状腺手术50例，行单侧甲状腺腺叶部分切除12例，一侧腺叶全部切除30例，双侧腺叶部分切除8例。结果全组均顺利完成手术。术中出血量为（12．77±20．12）m1，手术时间（67．00±21．28）min，术后住院天数为（3．77±0．50）d。术后2例声音嘶哑，随访50例，随访时间为1-6个月，无其他术后并发症。结论采用双乳晕腋窝入路腔镜下甲状腺切除手术具有更加美容、微创的优点，但其手术视角需有一个适应过程。

The clinical application of endoscopic thyroidectomy through two-areola axillary approach

Objective To discuss the more aesthetic and minimally invasive surgical approach of endo- scopic thyroidectomy. Methods 50 cases of endoscopic thyroidectomy via breast areola-axillary approach were retrospectively analyzed. Among these cases, 12 received unilateral partial lobectomy, 30 received unilateral total lobectomy and 8 received bilateral partial lobectomy. Results Endoscopic thyroidectomy was completed in all the patients. The intraoperative blood loss was （ 12. 77 ± 20. 12 ） ml. The operation time was （ 67.00 ±21.28 ） rain. The postoperative hospital stay was（3.77 ±0. 50） days. Hoarseness occurred in 2 cases. All the 50 cases were followed up from 1 to 6 months and no other complication occurred. Conclusion Endoscopic thyroidectomy via breast areola-axillary approach is more aesthetic and minimally invasive; however, the operator needs an a- daptive process for a better surgical view angle.