迷你腹腔镜甲状腺切除术

Thyroidectomy with micro laparoscope

目的探索迷你腹腔镜甲状腺切除术的可行性、微创性及临床应用价值。方法对33例甲状腺肿瘤患者行迷你腹腔镜甲状腺肿瘤切除术。结果手术成功32例,中转开放1例。手术时间28～180min,术中出血量2～120mL。无术后大出血、窒息、声音嘶哑、手足抽搐等严重并发症,术中、术后无死亡病例。结论迷你腹腔镜甲状腺切除术是安全可行的。手术切口隐蔽,愈合后几乎不留疤痕,创伤小,美容效果好,有望成为腹腔镜甲状腺切除术的主流术式。

[Objective] To discuss the feasibility, minimum injury and clinical application value of applying micro laparoscopic thyroidectomy. [Methods] 33 cases of patients with thyroid lump were performed micro laparoscopic thyroidectomy. [Results] Surger3.＂ to 32 cases of patients was successful, with 1 case transferred to open surgery. The operation time was 28-180 minutes, with hemorrhage of 2-120 mL during the surgery. After surgery no complications such as massive hemorrhage, asphyxia, husky voice and twitch of hand and foot occurred. No decease case occurred during and after surgery, [Conculsions] Micro laparoscopic thyroidetomy is safe and feasible, The cut is eoverted without leaving sear after recovery, With very little injury, thyroidetomy with mini celioscope achieves better safe result in cosmetology, which will become a leading surgery in thyroidectomy with micro laparoscope.