[1]黎东伟 李君久** 洪桂华 熊秋华 张慧嫦 莫大超 孙达 欧阳君.口腔前庭入路腔镜甲状腺切除术5例体会[J].中国微创外科杂志,2017,17(3):273-275.
　Li Dongwei,Li Junjiu,Hong Guihua,et al.Experience of 5 Cases of Transoral Endoscopic Thyroidectomy via Vestibular Route[J].Chinese Journal of Minimally Invasive Surgery,2017,17(3):273-275.
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口腔前庭入路腔镜甲状腺切除术5例体会()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年3期
页码:
273-275
栏目:
经验交流
出版日期:
2017-06-20

文章信息/Info

Title:
Experience of 5 Cases of Transoral Endoscopic Thyroidectomy via Vestibular Route
作者:
黎东伟 李君久** 洪桂华 熊秋华 张慧嫦 莫大超 孙达 欧阳君
中山大学附属东华医院普外科，东莞523110
Author(s):
Li Dongwei;  Li Junjiu;  Hong Guihua;  et al.
Department of General Surgery, Tungwah Hospital Affiliated to Sun Yet-sen University, Dongguan 523110, China
关键词:
甲状腺结节; 腔镜甲状腺切除术; 口腔前庭入路; 经自然腔道内镜手术
Keywords:
Thyroid nodule; Endoscopic thyroidectomy; Vestibular route; Natural orifice transluminal endoscopic surgery (NOTES)
文献标志码:
B
摘要:
目的初步探讨口腔前庭入路腔镜甲状腺切除术的可行性及安全性。方法回顾性分析2013年10月~2014年12月我院5例口腔前庭入路腔镜甲状腺部分切除术的甲状腺结节患者资料。均为单发良性结节，直径1.6~2.8 cm，中位数2.4 cm。 结果手术均顺利完成，无中转开放手术。手术时间65~155 min，中位数110 min；术中出血量10~30 ml，中位数20 ml；术后住院时间3~5 d，中位数4 d。术后无声嘶、呛咳，无呼吸困难、窒息、抽搐等并发症。1例张嘴疼痛，术后3天缓解。均随访6个月，恢复良好，无特殊不适。结论选择合适的病例，口腔前庭入路腔镜甲状腺切除术安全有效，美容效果好。
Abstract:
ObjectiveTo study the effectiveness and the security of transoral endoscopic thyroidectomy via vestibular route.Methods Five cases of thyroid nodules receiving endoscopic thyroidectomy via vestibular route between October 2013 to December 2014 were retrospectively analyzed. All of them had solitary benign nodule with a median diameter of 2.4 cm (range, 1.6-2.8 cm). ResultsThe endoscopic thyroidectomy was completed in all the patients. The operation time was 65-155 min (median, 110 min). The intraoperative blood loss was 10-30 ml (median, 20 ml). The postoperative hospital stay was 3-5 days (median, 4 days). Mouth pain occurred in one case and was recovered after 3 days. No other complications occurred in this series, such as hoarseness, cough, dyspnea, asphyxia or twitch. There was no discomfort in all the patients during a follow-up for 6 months.ConclusionEndoscopic thyroidectomy via the vestibular route is effective, safe and calleidic in properly selected cases.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：国家卫生计生委医药卫生科技发展研究中心课题（W2015RQ10）**通讯作者，E-mail:junjiu@126.com
更新日期/Last Update: 2017-06-20