目的 探讨经胸骨前径路内镜甲状腺手术的方法及其临床效果。
方法 采用经胸骨前径路内镜甲状腺手术治疗24例甲状腺良性肿瘤患者,并进行定期随访。
结果 23例手术顺利完成,1例因术中快速冰冻病理诊断为乳头状甲状腺癌而追加常规甲状腺癌根治术。平均手术时间为150 min,术中平均出血量30 ml。2例出现皮下气肿,4例出现胸部皮肤麻木。无喉返神经及甲状旁腺损伤,无术后出血、甲状腺危象等并发症出现。随访1~6个月,所有患者对美容效果非常满意,无近期肿瘤复发者。
结论 经胸骨前径路内镜甲状腺手术是一种美容效果较好的手术方法,手术操作空间的建立和术中控制出血是该术式的两大关键技术。
Citation:
周丁华,黎介寿,李宁,吕伟,卫冰,王正元,孙强. Endoscopic Thyroidectomy by Anterior Chest Approach. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(1): 72-73. doi:
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Miccoli P,Bellanone R,Mourad M,et al.Minimally invasive videoassisted thyroidectomy multiinstitutional experience [J].World J Surg, 2002; 26(8)∶972.
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- 1. Shimizu K. Minimally invasive thyroid surgery [J].Best Pract Res Clin Endocrinol Metab, 2001; 15(2)∶123.
- 2. Kitano H, Fujimura M, Kinoshita T, et al.Endoscopic thyroid resection using cutaneous elevation in lieu of insufflation [J].Surg Endosc, 2002; 16(1)∶88.
- 3. Bellantone R,Lombardi CP,Raffaelli M,et al.Videoassisted thyroidectomy [J]. J Am Coll Surg, 2002; 194(5)∶610.
- 4. Miccoli P,Bellanone R,Mourad M,et al.Minimally invasive videoassisted thyroidectomy multiinstitutional experience [J].World J Surg, 2002; 26(8)∶972.