经胸骨前径路三孔法内镜甲状腺切除术的体会

目的:探讨经胸骨前径路三孔法内镜甲状腺切除术的临床疗效及应用价值。方法:回顾分析为17例患者经胸骨前径路行三孔法内镜甲状腺切除术的临床资料。结果:17例手术均获成功,无一例中转开放手术,未损伤喉上神经、喉返神经及甲状旁腺。手术时间100～150 min,平均134 min;术中出血量30～50 ml,平均42 ml。患者对术后美容效果均非常满意。结论:选择合适的手术病例,经胸骨前径路行三孔法内镜甲状腺切除术是安全可行的,疗效确切,具有很好的美容效果。

Three-port endoscopic thyroidectomy via anterior chest wall approach

Objective: To discuss the clinical efficacy and application value of three-port endoscopic thyroidectomy through anterior chest wall. Methods:The clinical data of 17 patients who underwent three-port endoscopic thyroidectomy through anterior chest wall were analyzed retrospectively. Results:Seventeen operations were all successful,without conversions to open procedures.No injuries of the superior laryngeal nerve,recurrent laryngeal nerve,or parathyroid occurred.The average operating time was 134 min(100-150 min),average blood loss was 42 ml(30-50 ml).All the patients were very satisfied with the cosmetic results. Conclusions:Three-port endoscopic thyroidectomy through anterior chest wall is safe and feasible for selected appropriate cases,with the advantages of excellent cosmetic results and definite therapeutic effect.