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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

06

期数:

2006年9期

页码:

681-682

栏目:

出版日期:

2006-09-20

文章信息/Info

Title:

Endoscopic thyroidectomy in 21 cases　

作者:

于宏; 吴硕东; 张振海; 孙韶龙

中国医科大学附属第二医院(盛京医院)第一微创、胆道外科,沈阳,110004

Author(s):

Yu Hong;  Wu Shuodong;  Zhang Zhenhai;  et al.

FirstMinimally Invasive and Biliary SurgeryDepartment, SecondAffiliatedHospital ofChinaMedicalUniversity, Shenyang110004, China

关键词:

腔镜; 甲状腺手术

Keywords:

Endoscopy; 　Thyroidectomy

分类号:

R653

文献标志码:

A

摘要:

目的 探讨腔镜下甲状腺手术的可行性.方法 2003年3月～2005年9月我院对21例甲状腺良性病变采用胸骨前入路腔镜下手术.建立皮下隧道,CO2压力6 mm Hg,腔镜下超声刀行甲状腺部分或大部切除术.结果 4例术中出血难以控制中转开放手术.余17例腔镜手术时间90～180 min,平均125 min;术中出血量10～50 ml,平均31 ml;术后引流量5～35 ml,平均20 ml.术后住院2～4 d,平均3 d.术后2例出现皮肤瘀斑及皮下脂肪液化,1例出现低钙、抽搐等甲状旁腺损伤症状.15例随访1～12个月,平均5个月,无复发及远期并发症发生.结论 腔镜下甲状腺部分切除术有良好的美容效果,具有可行性.

Abstract:

Objective　To investigate the feasibility of endoscopic thyroidectomy.　M ethods　Endoscopic thyroidectomy was performed via breast approach in 21 cases ofbenign thyroid diseases fromMarch 2003 to September2005. A subcutaneous tunnel was established by CO2inflation at the pressure of 6 mm Hg. A harmonic scalpel was utilized to complete partial or subtotal thyroidectomy.　Results　Conversions to open surgerywere required in 4 cases because ofmassive hemorrhage. Of the remaining 17 cases, the endoscopic operating timewas 90~180 min (mean, 125 min), the hemorrhage volume was 10~50 ml (mean, 31 ml), the postoperative drainage volumewas5~35ml(mean, 20ml), and the postoperative hospital stay, 2~4 days (mean, 3 days). Skin ecchymosis and subcutaneous fat liquefaction occurred in 2 cases, and parathyroid gland injurieswith symptoms of hypocalcemia and hyperspasmia happened in 1 case. Follow-up observations in 15 cases for 1~12 months (mean, 5 months) found no recurrence or long-term complications.　Conclusions　Endoscopic thyroidectomy is safe and feasible, with excellent cosmetic outcomes.

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更新日期/Last Update: 2014-02-13