完全腔镜下甲状腺切除26例疗效分析

目的探讨完全腹腔镜下甲状腺切除术的临床可行性。方法对本院2006～2009年施行完全腔镜下甲状腺切除术的26例患者临床资料进行回顾性分析。结果 26例患者均能顺利施行完全腔镜下甲状腺切除术。手术时间50～180min,术中出血量15～150 mL,平均住院时间为3～6 d,无术后大出血、窒息,无喉返神经和甲状旁腺损伤等并发症。术后随访5～43个月,B超显示无复发。结论完全腔镜下甲状腺切除术是一种外观美容效果较好、安全可行的手术方式,术中正确解剖操作可有效地预防神经损伤。

Totally endoscopic thyroidectomy: a report of 26 cases

Objective To explore the feasibility of endoscopic thyroidectomy.Methods Twenty-six cases of endoscopic thyroidectomy patient′s data were reviewed retrospectively from 2006 to 2009.Results The total operation was accomplished under endoscope in 26 cases successfully.The operation time was 50～180 min(mean,112 min),and the intra-operative blood loss was 15～150 mL(mean,40 mL).The length of postoperative hospital stay was 3～6 days.No bleeding after operation,no asphyxia,no injury of the recurrent laryngeal nerve or the parathyroid glands occurred.Follow-up checkups in 26 cases for 5～43 months(mean,24 months) showed good cosmetic outcomes.Reexaminations with B-ultrasonography revealed no recurrence.Conclusion Endoscopic thyroidectomy is a safe and feasible procedure,compared with conventional operation.It has better cosmetic outcomes.