无注气甲状腺内镜外科手术

目的 初步评价无注气的内镜甲状腺外科手术的可行性。方法 对16例甲状腺肿物的患者分别采用颈前悬吊方法和胸骨柄上方2-3 cm水平切口进行甲状腺内镜外科手术,年龄23-62岁,其中甲状腺瘤6例,结节性甲状腺肿10例。2例采用锁骨下入路,14例采用胸骨柄上小切口入路,全部内镜下完成甲状腺手术,其中甲状腺腺叶切除术8例,甲状腺次全切除术7例,峡部加双侧腺叶部分切除术1例。结果 内镜下利于显露和识别喉返神经和甲状旁腺,手术时间为1.1-4.0 h,无并发症,术后的美观效果好。结论 无注气内镜下甲状腺外科手术技术是可行和安全的,可作为甲状腺外科的一种新术式。

Endoscopic thyroid gland surgery without carbon dioxide neck insufflation

Objective To evaluate endoscopic thyroid gland surgery without carbon dioxide neck insufflation. Methods Sixteen patients with thyroid gland benign tumor, aged from 23-62years, were selected and treated with endoscopic surgery. Eight cases received whole thyroid lobectomy and the other eight cases received partial thyroid lobectomy, the procedure was through a wall method or a single 2. 0-3. 0 cm horizontal skin incision. Among the 16 cases, 6 were thyroid adenoma and 10 were nodular goiter. Results All patients received endoscopic surgery, 2 cases with sub-clavicle approach and 14 cases with a single 2. 0-3. Ocm horizontal skin incision approach. The recurrent laryngeal nerve and parathyroid glands were easily identified and preserved during operation, the operating time lasted from 1. 1 hours to 4. 0 hours, no complication occurred, the postoperative cosmetic outcome was excellent. Conclusions The results indicated that gasless technique is feasible and safe, so it suggested that the video-assisted thyroid surgery without carbon dioxide neck insufflation could be an alternative for thyroid gland surgery.