摘要
目的探讨胸乳入路全腔镜下甲状腺手术的临床应用价值。方法回顾性分析24例经胸乳入路全腔镜下甲状腺手术,甲状腺部分切除术16例,甲状腺单腺叶次全切除术7例,甲状腺单腺叶全切除术1例。结果 24例经胸乳入路甲状腺手术均在全腔镜下完成手术,其中甲状腺腺瘤19例,结节性甲状腺肿5例,无神经、甲状旁腺损伤、无气管损伤等严重并发症,1例出现胸前区皮下感染。手术时间50min～137min(平均62min),术中出血5ml～65m1(平均27m1),术后住院时间2～5天(平均3.6天),随访1～13个月,美容效果满意。结论经胸乳入路全腔镜下甲状腺切除手术是一种兼顾安全性,可行性及美容性的方法。
Objective To evaluate the value of endoscopic thyroidectomy via chest-breast approach. Methods The 24 patients with endoscopic thyroidectomy were analyzed retrospectively.24 patients were preformed, among them, 16 cases by portion thyroidectomy, 7 cases by subtotal thyroidectomy, 1 cases by lobectomy. Results 24 patients were successfully preformed endoscopic thyroidectomy, among them, 19 cases with thyroid adenoma, 5 cases with nodular goiter. rain）. No injury of the nerve, parathyroid glands, or the trachea was found. 1 cases had infection in regiones pectoris anterior. The intraoperative blood loss was 5~65m1（mean, 27ml）. The operation time was 2~5day （mean 3.6day） .The postoperative convalescence of intestinal peristalsis was 27~83 hours（mean, 46 hours）. At 1~13 months follow-up, 24 cases were satisfactory. Conclusion Totally endoscopic thyroidectomy （TET） via chest-breast approach is curative, safe and cosmetic therapy.
出处
《当代医学》
2011年第27期76-77,共2页
Contemporary Medicine
关键词
胸乳入路
腔镜
甲状腺手术
Chest-breast approach
Endoscopy
Thyroidectomy
