胸前入路无注气腔镜辅助下甲状腺手术的并发症

【摘要】 目的 通过分析胸前入路无注气腔镜下甲状腺手术的并发症及其原因,评估该技术的安全性及可行性。方法 回顾总结428例胸部入路无注气腔镜辅助甲状腺手术,其中359例患者行单侧腺叶全切除,69例患者行双侧腺叶手术。结果 全部手术均成功,无一中转开放手术。术后声音嘶哑9例,术中发现气管损伤2例,术后皮下血肿2例,皮肤损伤1例,甲亢术后复发1例。结论 胸部入路无注气腔镜辅助下甲状腺手术总体是安全和可预防的。

Complications of gasless video-assisted thyroidectomy by the anterior chest wall approach

Objectives To analyze the complications and the reasons, and to evaluate the safety and feasibility of gasless video-assisted thyroidectomy by the anterior chest wall approach. .Methods A total of 428 cases underwent gasless video-assisted thyroidectomy by the anterior chest wall approach ,. in whom 359 cases received unilateral thyroidectomy and 69 cases bilateral thyroidectomy. Results All of the operations were completed without open thyroidectomy. .There were 9 cases of postoperative transient hoarseness,2 cases of operative tracheal injury ,2 cases of postoperative ecchymoma ,one case of dermatic injury and one case of recurrent hyperthyreosis. .Conclusion The surgical procedure of gasless video-assisted thyroidectomy by the anterior chest wall approach is safe and feasible.