经胸乳径路腔镜甲状腺手术:附46例报告

Treatment of thyroid diseases with endoscopic thyroidectomy via anterior chest wall approach:a report of 46 cases

目的分析经胸乳径路腔镜甲状腺手术的难点并探讨其对策。方法总结一年半实行的46例经胸乳径路腔镜甲状腺手术的临床资料。结果44例腔镜手术成功,2例中转开放手术。腔镜甲状腺手术时间86-190min,平均(126.2±27.0)min。皮下淤斑1例;未发生出血、喉返神经损伤、甲状旁腺损伤等严重并发症。手术后颈部无疤痕。结论腔镜甲状腺手术安全,且克服了传统甲状腺手术颈部留有瘢痕的缺点,不影响美观。

Objective To analyse the difficulties encountered in endoscopic thyroidectomy （ESTC） and discuss their Methods The clinical data of endoscopic thyroidectomy via anterior chest wall approach in 46 cases performed in our hospital over the last year and a half were summarized. Results ESTC in 44 cases were successful, and 2 were converted to open operation. The operation time of ESTC was from 86 min to 190 min（ mean 126. 2 ± 27.0 min）. One case had a small area of ecchymosis in the presternal skin postoperativelu. No injury of recurrent laryngeal nerves, hemorrhage or parathyroid injury occurred. There was no scar on the neck after operation. Conclusions Endoscopic thyroidectomy is safe, and avoids the shortcoming of leaving a scar on the neck that is present after traditional surgical removal of the thyroid gland. No adverse cosmetic effect was observed.