摘要
目的：探讨内镜辅助下经颈部小切口行甲状腺切除术的可行性及手术效果。方法：内镜辅助下经颈部小切口为110例患者行甲状腺切除术。结果：成功完成手术105例，5例因术中病理为甲状腺癌中转开放手术。手术切口长1．5—2．5cm，平均2．1cm，手术时间30—90min，平均46min，术中出血3-10ml，平均5ml。术后住院1—3d，平均2．1d。无永久性声嘶、出血、低血钙等并发症发生，皮下积液6例，暂时性喉返神经损伤2例，切缘烧烫伤5例，术后瘢痕细小，效果满意。结论：临床上内镜辅助甲状腺手术安全可行，术后患者康复快，颈部美容效果好。
Objective ： To explore the feasibility and efficiency of transcervical minimally incisional endoscopic assisted thyroidectomy. Methods：One hundred and ten cases were perfomed the transeervical minimal incesion endoscopic assisted thyroidectomy. Resuits： One hundred and five cases had been performed successfully by endoscopy. Five cases were converted to open operation because of thyroid cancer. Surgical incision was about 1.5 to 2.5cm, mean incision was 2.1 cm. The operative time was 30 to 90min, mean time was 46min. The blood loss was 3 to lOml, mean blood loss was 5ml. Hospitalization time after operation was 1 to 3 days, mean time was 2. 1 d. Permanent hoarseness, bleeding,low blood calcium and other complications didn＇t occurred. Subcutaneous hydrops occurred in 6 cases and temporary recument laryngeal newe oceured in 2 cases injury. Margin burn occurred five cases. The results were satisfactory. Conclusions：inimal ineiscion endoscopic assisted thyroidectomy is feasible and safe. The patients recoverred quickly and took relative beautiful outlook.
出处
《腹腔镜外科杂志》
2008年第5期394-395,共2页
Journal of Laparoscopic Surgery
关键词
甲状腺切除术
内窥镜外科手术
小切口
Thyroidectomy
Endoscopic surgical procedures
Minimal incision
