甲状腺微创手术的动物实验研究及临床应用初探

Animal experiment and clinical application of minimally invasive thyroid surgery

目的:探索性研究和初步评价甲状腺微侵袭外科手术的可行性。方法:对6例杂种犬进行实验研究,在电视内镜下行甲状腺叶切除术,然后用于临床,在电视内镜下对2例患者施行甲状腺叶切除术。结果:电视内镜下能切除犬和人的甲状腺叶及峡部,且无手术并发症。结论:甲状腺微创外科技术是可行和安全的,能减少组织损伤,提高手术准确性,具有良好的美容效果。

Objective:To investigate and evaluate the possibility of minimally invasive thyroid surgery.Method:The technique of video-assisted endoscopic resection of thyroid lobe and isthinums was developed in six adult mongrel dogs and two patients,using laparoscope and its equipments.Result:Under the video-assisted laparoscope, resection of thyroid lobe and isthmus was successfully completed in the dogs and the patients, no complication happened.Conclusion:The technique of minimally invasive thyroid surgery is possible and safe. In this technique, there is diminished tissue damage, highly accuracy of operation, as well as improved cosmesis.