内镜辅助下小切口甲状腺手术

Endoscope assisted thyroidectomy with minimal incision in neck

目的探讨内镜辅助下甲状腺手术的可行性及安全性。方法2005年8月～2006年5月我科在内镜辅助下胸骨切迹上横形1.5cm～3.0cm小切口对15例患者行甲状腺手术。结果所有患者均完成手术,无1例中转开放手术,甲状腺部分切除术9例、甲状腺腺叶切除术4例和双侧甲状腺部分切除术2例。手术时间50～100分钟,平均65.3分钟,术中出血10ml～40ml,平均17.5ml。无1例手术并发症,所有患者对颈部美容效果满意。结论内镜辅助下改良小切口甲状腺手术安全可靠,具有微创、美容的优点。

To explore the feasibility of endoscope assisted thyroidectomy with minimal incision in neck. METHODS Endoscope assisted thyroidectomy had been performed through 1.5 cmN3.0 cm incision above sternal notch in 15 patients from August 2005 to May 2006. RESULTS Nine patients underwent partial Iobectomy, 4 Iobectomy, and 2 bilateral partial Iobectomy. The mean operation time was 65.3 min （range from 50min to 100 min）, the mean volume of hemorrhage during the operation was 17.5 ml（range from 10 ml to 50 ml）. No surgical complications occurred. All the patients satisfied with the cosmetic outcomes of the incision. CONCLUSION Endoscope assisted thyroidectomy is a safe, reliable and minimally invasive procedure with a better cosmetic results.