经锁骨下入路行腔镜辅助甲状腺手术：附62例报告

目的探讨经锁骨下入路腔镜辅助甲状腺切除的手术方法及价值。方法对62例甲状腺腺瘤、甲状腺肿、甲状腺功能亢进、甲状腺癌等实施了经锁骨下入路的腔镜辅助下甲状腺手术。结果令组均手术成功，无中转开放手术，前25例平均手术时间为（120±32）min，后37例平均手术时间（50±13．3）min。术后住院时间（4±0．5）d。术后皮下积血2例，无声嘶，无饮水呛咳，无手足麻木等并发症；术后恢复良好。术后6个月随访62例患者，颈部皮肤感觉接近止常，颈部外形基本正常。结论论锁骨下入路腔镜下甲状腺于术具有无颈部疤痕、美容效果好、恢复快，易掌握。

Endoscopic thyroid surgery by trans subclavian approach :a report of 62 cases

Objective To evaluate the clinical application of video assisted endoscopic thyroidectomy by trans-subclavian approach.Methods Six-two patients with thyroid adenoma,goiter or hyperthyroidism received thyroidectomy with endoscopic instruments through trans-subclavian approach from December 2007 to July 2008.The age of the patients was from 12 to 65 years(mean 34 years).Results All 62 cases had successful operation with no conversion.There were no severe surgical complications such as nerve damage or hemorrha...