摘要
目的探索用腔镜进行甲状腺手术的可行性及其应用价值。方法利用杂交狗进行腔镜甲状腺切除的操作训练。在此基础上 ,2 0 0 2年 3～ 10月对 12例甲状腺良性肿物患者用超声刀行腔镜甲状腺良性肿物切除术。结果手术成功 11例 ,中转开刀 1例。手术时间 40～ 12 0min ,术中出血 5～ 2 0ml。术后 6h下床活动、进流质饮食 ,无恶心、呕吐。颈部引流管于术后第 2天拔除 ,术后 3～4d出院。 2例术后前胸部出现小面积的淡黄色瘀斑。无皮下气肿。结论腔镜甲状腺手术切口隐蔽、颈部无疤痕 ,安全可行。
ObjectiveTo evaluate the feasibility of endoscopic thyroid adenoma excision. Methods Dogs were used to practice endoscopic thyroid surgery under anesthesia. On the basis of animal experiment, endoscopic technique was introduced into dissection of follicular nodule of the thyroid lobe. One male and 11 females, aging between 23～52, underwent endoscopic enucleation of thyroid tumors from March 2002 to October 2002. Results The procedure was successful in 11 cases with 1 case converted to open surgery. The average time of operation was 70*!min, and intraoperative blood loss was 5～20*!ml. The patients had minimal pain. The cosmetic result was excellent. The incisions were completely hidden even with open necked skirt. Conclusions The cosmetic result of endoscopic thyroidectomy is satisfactory.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第3期176-177,共2页
Chinese Journal of General Surgery
