内镜辅助的甲状腺切除术(附8例报告)

Minimally invasive video-assisted thyroidectomy: A report of 8 cases

目的探讨内镜辅助甲状腺切除术的可行性.方法回顾性分析2002年9月～2004年9月我院8例甲状腺良性结节的患者,进行内镜辅助微创甲状腺腺叶切除的临床资料. 结果手术均获成功,手术时间90～150 min,平均120min.术中失血10～30ml,平均20 ml.无并发症,无中转手术.术后3～4 d均痊愈出院.8例随访6～12个月,平均9个月,伤口愈合良好,无感觉不适.结论内镜辅助的甲状腺切除术安全有效,并具有明显美容效果.

Objective To explore the feasibility of minimally invasive video-assisted thyroidectomy （MIVAT）. Methods Clinical data of 8 consecutive patients with benign thyroid nodules treated by MIVAT in this hospital from September 2002 to September 2004 were retrospectively reviewed. Results All the procedures were successfully completed. The operative time was 90-150 min （mean, 120 min） , and the hemorrhage volume, 10-30 ml （mean, 20ml）. No complications happened and no conversions to open surgery were needed. All the patients were completely recovered and discharged from hospital 3-4 days after the surgery. Follow-up checkups for 6 -12 months （ mean, 9 months） in the 8 patients found normally healed wounds and no paraesthesia. Conclusions MIVAT is safe and effective, with excellent cosmetic outcomes.