胸乳入路腔镜下甲状腺手术125例报告

Endoscopic Thyroidectomy via Chest-Breast Approach:Report of 125 cases

目的探讨胸乳入路腔镜下甲状腺手术的临床疗效。方法2002年10月～2006年12月,行胸乳入路腔镜下三孔法甲状腺手术125例。其中结节性甲状腺肿36例,甲状腺囊肿30例,甲状腺囊腺瘤58例,甲状腺功能亢进1例。结果手术成功124例,1例甲状腺乳头状癌中转颈部切口行根治术。手术时间50～235min,平均117min。无神经、甲状旁腺损伤,无气管损伤。123例随访3～18个月,平均6个月,获1年以上随访36例,甲状腺癌随访10个月,无复发转移。结论胸乳入路甲状腺手术具有操作方便,美容效果良好的特点。

Objective To study the therapeutic effect of endoscopic thyroidectomy via chest-breast approach. Methods From October 2002 to December 2006, endoscopic thyroidectomy was performed on 125 patients via chest-breast approach. Among the patients, 36 had nodular goiter, 30 had thyroid cyst, 58 had thyroid cystadenoma, and 1 had hyperthyroidism. Results The endoscopic thyroidectomy was succeeded in 124 patients, the other one, who had papillary carcinoma of the thyroid, was converted to open radical thyroideetomy. The operations time was 50-235 rain （mean, 117 rain）. No injury of the nerve, parathyroid glands, or the trachea was found. 123 patients were followed up for 3 to 18 months （mean, 6 months）. Among them, 36 patients were followed up for more than 1 year; none of them had recurrence or metastasis. Conclusions Endoscopic thyroidectomy via chest-breast approach is a convenient and effective method with good cosmetic results.