免充气经口腔镜甲状腺切除术24例分析

目的探讨采用悬吊方法进行免充气经口腔镜甲状腺手术可行性及安全性。方法回顾性分析2018年12月至2019年4月就诊安徽省肿瘤医院头颈外科接受免充气经口腔镜甲状腺手术患者的临床资料。记录术中出血量、手术时间、术后住院时间、术后并发症等情况。结果总共24例纳入此次分析,行一侧腺叶切除20例、甲状腺全切除4例,其中18例甲状腺癌患者同时行中央区淋巴结清扫。术中出血量(41.3±26.4)ml;手术时间(191.8±40.8)min;术后引流时间(6.3±1.0)d、引流量(221.0±66.0)ml;术后住院天数(6.3±1.0)d。术后无饮水呛咳、发音嘶哑、甲状旁腺损伤、出血、感染等并发症发生;8例出现下颌麻木,均于一个月内恢复。结论采用悬吊法进行免充气经口腔镜甲状腺手术是安全、可行的一种选择。

Totally gasless transoral video-assisted thyroidectomy:initial report of 24 cases

Objective To evaluate the feasibility of the gasless transoral endoscopic thyroidectomy using an innovative space maintaining method.Methods From Dec.2018 to Apr.2019,patients from Anhui Tumor Hospital treated with gasless transoral endoscopic thyroidectomy were retrospectively analyzed.Index such as intraoperative blood loss,operative time,postoperative hospital stay,and complications were recorded.Results A total of 24 patients were included into this analysis.All operations were successfully completed.The mean blood loss was(41.3±26.4)ml,operation time was(191.8±40.8)min,postoperative hospital stay was(6.3±1.0)d.Nobody had drinking cough,recurrent laryngeal nerve palsy,massive bleeding,hypoparathyroidism or infection with use of preventive antibacteria.Transient lower jaw numbness was found in 8 patients and almost recovered within one month.Conclusions Gasless transoral endoscopic thyroidectomy with the suspension device seems to be feasible and safe.Further study is needed to verify its validity.