[1]孙春雷,陈平康,史峻峰.颈腔镜双极电凝法甲状腺切除术[J].中国微创外科杂志,2005,05(1):40-41.
　Sun Chunlei,Chen Pingkang,Shi Junfeng..Endoscopic thyroidectomy with bipolar electrocoagulation[J].Chinese Journal of Minimally Invasive Surgery,2005,05(1):40-41.
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颈腔镜双极电凝法甲状腺切除术()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年1期
页码:
40-41
栏目:
出版日期:
2005-01-30

文章信息/Info

Title:
Endoscopic thyroidectomy with bipolar electrocoagulation
作者:
孙春雷; 陈平康; 史峻峰
苏州大学第四医院腔镜外科,无锡,214062
Author(s):
Sun Chunlei;  Chen Pingkang;  Shi Junfeng.
Department of Endoscopy Surgery, Fourth Affliated Hospital of Suzhou University, Wuxi 214062, China
关键词:
腔镜;  甲状腺切除术;  双极电凝
Keywords:
Endoscopy; 　Thyroidectomy; 　Bipolar electrocoagulation
分类号:
R653
文献标志码:
A
摘要:
目的探讨颈腔镜双极电凝法甲状腺手术的可行性. 方法采用前胸壁途径,主要依靠双极电凝和剪刀,对21例直径0.7～5.5 cm甲状腺肿瘤进行甲状腺部分切除术. 结果 20例腔镜下完成手术,1例中转开放手术.切口总长度平均22 mm,手术时间(69±47) min,术中出血量(55±41) ml,2例术后镇痛,无严重手术并发症. 结论在无超声刀情况下,颈腔镜甲状腺手术利用双极电凝同样可行.
Abstract:
Objective　To study the feasibility of endoscopic thyroidectomy with bipolar electrocoagulation.　Methods　Endoscopic partial thyroidectomy via precordial approach, mainly by using bipolar electrocoagulation and scissors, was accomplished in 21 patients with thyroid tumors with a diameter of 0.7~5.5 cm.　Results　The operation was accomplished endoscopically in 20 patients, whereas a conversion to open thyroidectomy was conducted in 1 patient. The mean incision lengthwas 22 mm, the operation time was 69±47 min, and the blood loss was 55±41 ml. Postoperative analgesic treatment was required in 2 patients and no serious complications happened.　 Conclusions　Endoscopic thyroidectomy with bipolar electrocoagulation is feasible in the absence of ultrasonic scalpel.

参考文献/References:

[1]Gagner M.Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism. Br J Surg,1996,83:875.
[2]Hüscher CGS,Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy.Surg Endosc,1997,11:877.
[3]陈平康,孙春雷,徐志诚.颈腔镜甲状腺手术4例报告. 中国微创外科杂志, 2002 ,2(增刊):S96.
[4]王存川,段立纪,陈均,等. 腔镜下甲状腺部分切除术.中国内镜杂志,2002,8(7):19-20.
[5]Ochiai R,Takeda J,Noguchi J,et al.Cabon dioxide is a safe agent for subcutaneous insufflation during endoscopic thyroidectomy. Anest Analg,2000,124:147-150.

更新日期/Last Update: 2014-03-11