[1]李磊,宋世兵,马朝来,等.侧方入路小切口甲状腺手术的临床应用[J].中国微创外科杂志,2012,12(2):140-142.
　Li Lei,Song Shibing,Ma Chaolai,et al.Smallincision Thyroidectomy via Lateral Approach[J].Chinese Journal of Minimally Invasive Surgery,2012,12(2):140-142.
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侧方入路小切口甲状腺手术的临床应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年2期
页码:
140-142
栏目:
出版日期:
2012-02-25

文章信息/Info

Title:
Smallincision Thyroidectomy via Lateral Approach
作者:
李磊; 宋世兵; 马朝来; 蒋斌
北京大学第三医院普通外科，北京100191
Author(s):
Li Lei;  Song Shibing;  Ma Chaolai;  et al.
Department of General Surgery, Peking University Third Hospital, Beijing 100191, China
关键词:
甲状腺切除术; 手术入路
Keywords:
Thyroidectomy; Surgical approach
分类号:
R653
文献标志码:
A
摘要:
目的探讨侧方入路小切口甲状腺切除术的可行性和手术技巧。方法2009年5月~2011年10月，对30例单侧甲状腺肿物行胸锁乳突肌内缘肿物表面横行小切口（长2~2.5 cm），经胸锁乳突肌前缘切开带状肌，于甲状腺前外侧开始解剖，完成侧方入路小切口甲状腺切除术。结果30例手术均顺利完成,甲状腺腺叶切除16例,单侧甲状腺次全切除术14例。切口长2～3 cm,平均2.5 cm,平均手术时间53 min（45～65 min），术中出血量均<10 ml。术后均未出现并发症，患者术后伤口疼痛程度和吞咽不适感均较轻。30例平均随访13个月（1~22个月），切口美观，无复发。结论侧方入路小切口甲状腺切除术可行，美容效果好。
Abstract:
ObjectiveTo access the feasibility and surgical techniques of smallincision thyroidectomy through lateral approach. MethodsTotally 30 patients with unilateral thyroid tumor received smallincision thyroidectomy between May 2009 and October 2011 in our hospital via a lateral approach. A 2 to 2.5cm incision was made over the tumor within the inner edge of the sternocleidomastoid. And then, we cut the strap muscle along the anterior edge of the sternocleidomastoid so that to remove the thyroid via a lateral approach.ResultsThe procedures, including 16 cases of thyroid gland lobectomy and 14 cases of hemithyroidectomy, were completed in all the patients within a mean of 53 min (45-65 min). The intraoperative blood loss was less than 10 ml in all the cases. No complications occurred after the surgery. No patients complained of severe incisional pain or swallowing discomfort. The patients were followed up for 1-22 months (mean, 13 months), during which no recurrence occurred, the patients were satisfied with the cosmetic results. ConclusionSmallincision thyroidectomy through lateral approach is feasible with good cosmetic outcome.

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备注/Memo

备注/Memo:
宋世兵通讯作者,E-mail:songshibing5198@sina.com
更新日期/Last Update: 2013-04-11