摘要
目的:探讨悬吊式经腋窝单孔腔镜甲状腺肿瘤切除术的安全性及可行性。方法:为1例甲状腺腺瘤患者行悬吊式经腋窝单孔腔镜甲状腺肿瘤切除术,于左侧腋窝做2 cm切口,建立操作通道及悬吊操作空间。结果:手术获得成功。手术时间220 min。无出血及神经、周围脏器损伤等并发症发生,患者清醒后即进流质饮食,术后两周复查,术区无明显手术瘢痕。结论:悬吊式经腋窝单孔腔镜甲状腺肿瘤切除术安全可行,微创效果更加明显,极具推广价值,可望成为有前途的新型腹腔镜技术。但操作难度较常规气腹腔镜甲状腺手术大,单孔操作装置及手术器械尚待进一步完善和改进。
Objective：To discuss the feasibility and safety of suspended trans-axillary single-port endoscopic thyroidectomy for thyroid tumors.Methods：A patient of thyroid adenoma underwent suspended trans-axillary single port endoscopic thyroidectomy.One incision of 2 cm was made in the left fossa axillaris to establish operating space until the end of operation through the suspended approach.Results：The operation which lasted for 220 min was performed successfully with no significant complications,such as bleeding,nerve or periphery tissue injury.Liquid diet was admitted to the patient immediately after consciousness recovery.No obvious visible scar was observed at the operation region 2 weeks after operation.Conclusions：Thyroidectomy for thyroid tumor via the suspended trans-axillary single-port approach is secure and feasible with excellent cosmetic effect and promotional value.It is expected to be a new endoscopic technique in the future,which is much more difficult than the traditional one,with the development of surgical instruments.
出处
《腹腔镜外科杂志》
2012年第3期189-191,共3页
Journal of Laparoscopic Surgery
关键词
甲状腺肿瘤
内窥镜检查
悬吊
单孔
经腋窝
Thyriod neoplasms
Endoscopy
Suspension
Single-port
Trans-axillary
