[1]蔡丽生,蔡铭智,徐宏,等.免注气锁骨下途径腔镜辅助甲状腺肿瘤切除术34例[J].中国微创外科杂志,2009,09(9):784-786.
　Cai Lisheng,Cai Mingzhi,Xu Hong,et al.Gasless Videoassisted Endoscopic Thyroidectomy via the Infraclavicular Approach: Report of 34 Cases[J].Chinese Journal of Minimally Invasive Surgery,2009,09(9):784-786.
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免注气锁骨下途径腔镜辅助甲状腺肿瘤切除术34例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年9期
页码:
784-786
栏目:
出版日期:
2009-09-30

文章信息/Info

Title:
Gasless Videoassisted Endoscopic Thyroidectomy via the Infraclavicular Approach: Report of 34 Cases
作者:
蔡丽生; 蔡铭智; 徐宏; 高金辉; 洪建明; 陈培臻
福建医科大学附属漳州市医院普外科，漳州363000
Author(s):
Cai Lisheng; Cai Mingzhi;  Xu Hong;  et al.
Department of General Surgery,Zhangzhou Hospital, Fujian Medical University, Zhangzhou 363000, China
关键词:
内镜; 甲状腺瘤; 甲状腺肿瘤切除术; 锁骨下途径
Keywords:
Endoscopy; Thyroid neoplasms; Thyroidectomy; Infraclavicular approach
分类号:
R653
文献标志码:
A
摘要:
目的探讨免注气锁骨下途径腔镜甲状腺肿瘤切除术的临床价值。方法局部麻醉下患侧锁骨下方做2～4 cm切口，沿颈阔肌下平面分离至颈前区，使用皮肤拉钩及缝线牵拉方法建立无气体空间，利用超声刀分离行甲状腺肿瘤切除术。结果34例手术均成功，手术时间（120±30）min，术中出血量（20±12）ml。3例皮瓣下积液，1例切口感染，引流、换药后均治愈。34例随访1～30个月，平均18.5月，肿瘤无复发。结论免注气锁骨下途径腔镜甲状腺瘤切除术具有操作简单、安全、美观效果。
Abstract:
ObjectiveTo evaluate the feasibility and advantages of gasless endoscopic thyroidectomy via the infraclavicular approach.MethodsA single 2 to 4cm infraclavicular incision was made at the ipsilateral side under local anesthesia. The subplastysmal plane was dissected up to the anterior neck to build a gasless space by mechanical method. Afterwards, by using ultrasonic scalpel,thyroidectomy was performed.ResultsThe procedure was completed in 34 cases with a mean operation time of (120±30) min and mean blood loss of (20±12) ml. After the surgery, 3 patients developed subcutaneous fluid and 1 patient had incisional infection, all of the 4 patients were cured by conservative therapy. The 34 cases were followed up for 1 to 30 months with a mean of 18.5 months, during the period, none of them had recurrence.ConclusionsGasless endoscopic thyroidectomy via the infraclavicular approach is a simple and safe method with good cosmetic outcomes.

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备注/Memo

备注/Memo:
基金项目：福建省卫生厅青年科研课题（2008256）
更新日期/Last Update: 2014-01-08