[1]姚国栋,董培德,邬新林,等.乳晕入路腔镜下甲状腺切除术18例报告[J].中国微创外科杂志,2007,07(11):1083-1084.
　Yao Guodong,Dong Peide,Wu Xinlin,et al.Endoscopic Thyroidectomy via Breast Areola Approach: Report of 18 Cases[J].Chinese Journal of Minimally Invasive Surgery,2007,07(11):1083-1084.
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乳晕入路腔镜下甲状腺切除术18例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年11期
页码:
1083-1084
栏目:
出版日期:
2007-11-20

文章信息/Info

Title:
Endoscopic Thyroidectomy via Breast Areola Approach: Report of 18 Cases
作者:
姚国栋; 董培德; 邬新林; 侯明星; 孟兴凯; 欧阳晓晖
内蒙古医学院附属医院普外科A区，呼和浩特010050
Author(s):
Yao Guodong;  Dong Peide;  Wu Xinlin;  et al.
Department of General Surgery, First Affiliated Hospital, Inner Mongolia Medical Collage, Hohhot 010050, China
关键词:
腔镜; 乳晕入路; 甲状腺切除术
Keywords:
Endoscopy; Breast areola approach; Thyroidectomy
分类号:
R653
文献标志码:
A
摘要:
目的探讨乳晕切口入路腔镜下甲状腺手术的可行性和美容效果。方法2004年1月～2006年1月，经胸乳晕入路腔镜下行甲状腺良性肿物切除术18例。于右乳晕边缘1点处弧形切口长5 mm置抓钳，左乳晕边缘11点处弧形切口长12 mm置超声刀，乳沟中央做10 mm水平切口置腔镜。通过分离胸前皮下和颈阔肌深面，注入CO2 5 mm Hg建立手术空间。超声刀切割、分离甲状腺组织和甲状腺血管。结果18例手术均成功，其中12例甲状腺瘤切除术，1例甲状腺部分切除术，5例双侧甲状腺大部分切除术。单侧手术时间45～120 min，平均62 min；术中出血量6~20 ml，平均11 ml。双侧手术时间90~180 min，平均98 min；术中出血量15～70 ml，平均29.5 ml。术后住院3~5 d。术后无严重并发症。18例随访6～12个月，平均9个月，切口愈合良好，无瘢痕，无复发。结论乳晕入路腔镜下甲状腺手术安全、可行，颈部美容效果好。
Abstract:
ObjectiveTo investigate the feasibility and cosmetic results of endoscopic thyroidectomy via breast areola approach.MethodsFrom January 2004 to January 2006, endoscopic thyroidectomy was performed through the breast areola approach in 18 patients with benign thyroid mass.ResultsThe surgery was accomplished successfully in all the 18 cases. The operation time ranged 45-120 min (mean, 62 min) for unilateral resection and 90-180 min (mean, 98 min) for bilateral resection. The intraoperative blood loss ranged 6-20 ml (mean, 11 ml) for unilateral resection, and 15-70 ml (mean, 29.5 ml) for bilateral resection. Postoperative hospital stay was 3-5 days. No complication occurred after the operation. The patients were followed up for 6-12 months (mean, 9 months). The wound healed well in all the patients, inconspicuous scars or no recurrence was observed during the followup.ConclusionsEndoscopic thyroidectomy via breast areola approach is a safe and feasible procedure with satisfying neck cosmetic outcome.

参考文献/References:

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更新日期/Last Update: 2013-12-09