摘要
目的探讨全乳晕入路腔镜下甲状腺手术常规经中间入路手术路径显露喉返神经,达到预防术中喉返神经损伤的效果,探讨显露喉返神经的方法。方法采取全乳晕入路腔镜下甲状腺中间入路的手术方法完成甲状腺手术154例,术中共显露喉返神经205条。结果 1例甲状腺癌手术和1例再次甲状腺手术后出现轻度喉返神经麻痹症状,分别于1、3个月后恢复,无永久损伤。术后平均住院时间5.5d(4～8d)。结论中间入路新手术路径使腔镜下甲状腺的手术操作更加容易,降低了甲状腺手术难度,并且可以作为一种安全的喉返神经显露方法。
Objective To investigate the effect of exposure of the recurrent laryngeal nerve through the surgical approach in middle route during laparoscopy thyroid surgery through all periareolar incision route. Methods A new surgical approach in middle route was performed at the 154 patients in thyroid surgery, and 205 branchs recurrent laryngeal nerve were exposed during operation. Results Two patients were damaged recurrent laryngeal nerve during the operation in one of thyroid recurrence adenoma and in one of thyroid adenocarcinoma. They got recovered in one and three month after surgery. The postoperative hospital stay was 5.5 （4-8） days. Conclusions The surgical approach, of exposure to the recurrent laryngeal nerve in middle route is a safe and easy for laparoscopy thyroid surgery through all periareoIar incision route.
出处
《岭南现代临床外科》
2012年第4期356-358,共3页
Lingnan Modern Clinics in Surgery
关键词
腔镜甲状腺手术
喉返神经
手术路径
Laparoscopy thyroid surgery
Recurrent laryngeal nerve
Surgical approach
