摘要
目的:探讨全乳晕入路腔镜甲状腺微小乳头状癌的手术经验和疗效。方法:选取2016年6月至2017年12月中南大学湘雅二医院收治的甲状腺微小乳头状癌患者共117例,根据患者意愿分为腔镜手术组(n=72)和开放手术组(n=45),比较两组中央区淋巴结清扫数、术中出血量、术后引流量及术后并发症发生和复发情况。结果:与开放手术组相比,腔镜手术组术中出血量少(P<0.05)、手术时间较长(P<0.05);两组淋巴结清除数、术后引流量及并发症发生率的差异均无统计学意义(均P>0.05);平均随访时间超过20个月,两组均无复发。结论:全乳晕入路腔镜下甲状腺微小乳头状癌手术并行中央区淋巴结清扫是安全可行的,具有颈部无痕、出血少、住院时间短等优点,更易被年轻患者所接受。
Objective:To investigate the experience and efficacy of endoscopic thyroidectomy for papillary thyroid microcarcinoma (PTMC) through total areola approach. Methods:A total of 117 PTMC patients,who were diagnosed pathologically in Minimally Invasive Surgical Center,Second Xiangya Hospital,Central South University from June 2016 to December 2017,were divided into a endoscopic surgery group (n=72) and an open surgery group (n=45). The number of dissected central lymph nodes,blood loss,amount of drainage,occurrence of postoperative complication and recurrence were collected and compared. Results:Compared with the open surgery group,the blood loss was less and the operative time was longer in the endoscopic surgery group (P<0.05).There were no significant differences between the 2 groups in the number of dissected central lymph nodes,amount of drainage and occurrence of postoperative complication (all P>0.05).The mean follow-up time was more than 20 months,and there was no recurrence in the 2 groups. Conclusion:Endoscopic thyroidectomy with central compartment neck dissection through total areola approach is safe and feasible in patients with PTMC.It has many advantages,such as no scar on neck,less blood loss,shorter hospital stay and more acceptable to young patients.
作者
宫毅
左仲坤
刘子儒
叶飞
黄江生
GONG Yi;ZUO Zhongkun;LIU Ziru;YE Fei;HUANG Jiangsheng(Minimally Invasive Surgical Center,Second Xiangya Hospital,Central South University,Changsha 410011,China)
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2019年第9期1009-1015,共7页
Journal of Central South University ：Medical Science
关键词
全乳晕入路
腔镜
甲状腺肿瘤
颈淋巴结清扫术
total areola approach
endoscopy
thyroid carcinoma
neck lymph dissection
