腔镜甲状腺切除术中加长型Trocar的临床应用

目的 探讨全乳晕入路腔镜甲状腺切除术中加长型Trocar的临床应用价值。方法 回顾性分析102例全乳晕入路腔镜甲状腺切除手术患者的临床资料，对比分析加长型Trocar组和普通型Trocar组患者术中颈胸部分离面积、手术时间、术中出血量、切口引流量、住院时间及术后并发症发生情况。结果 加长型Trocar组与普通型Trocar组相比，颈胸部分离面积小于后者（P＜0.05），手术时间、术中出血量和术后引流量均明显短于或少于后者（P＜0.05）；普通型Trocar组并发症发生率明显高于加长型Trocar组（P＜0.05 ）。结论 加长型Trocar 应用于腔镜甲状腺手术可明显减小颈胸部分离面积，缩短手术时间，减少术后并发症的发生，值得推广应用。

Clinical Application of Extended Trocars in Endoscopic Thyroidectomy

Objective To investigate the clinical significance of lengthened Trocars in endoscopic thyroidectomy. Methods There were 102 cases of endoscopic thyroidectomy via the areola approach， which were divided into two groups：33 patients via lengthened Trocar， and 69 patients via normal Trocar. The operative time， blood loss， wound drainage， hospital stay， and postoperative complications in two groups were comparatively analyzed. Results Compared with the normal Trocar group， the operative time was shorter， subcutaneous separation area was smaller， blood loss was less， and postoperative drainage was less in the lengthened Trocar group （P＜0.05）. The postoperative complications of lengthened Trocar group was less than normal Trocar group （P＜0.05）. Conclusions Application of lengthened Trocars in endoscopic thyroidectomy brings benefits of less subcutaneous damage， shorte operative time， and better operation experience. This procedure is worth popularizing in clinical use．