LigaSure在小切口甲状腺手术中的应用

The use of LigaSure in mini-incision thyroidectomy

目的探讨血管闭合器(LigaSure)在小切口甲状腺手术中的应用效果。方法回顾性分析2年间收治的58例良性甲状腺疾病(Ⅱ°)采用颈部小切口及LigaSure下施行甲状腺次全切除术者临床资料。结果手术平均时间45(35～70)min。术中平均出血量15(5～30)mL,术后24 h平均切口引流量20(10～30)mL,术后未出现声嘶及口角麻木等手术并发症。术后平均住院时间3(2～4)d。结论LigaSure在甲状腺手术中的应用较之传统手术能缩短手术时间、减少术中出血量和手术并发症,术后恢复快,手术切口小,不甚影响美观。

Objective To investigate the efficacy of mini-incision thyroidectomy using LigaSure. Methods Mini-incision thyroidectomy with LigaSure was performed in 58 cases with thyroid diseases from Jan, 2006 to Dec, 2007. Results The mean operation time was 45 （ 35 - 70 ） rain. The mean blood loss was 15 （ 5 - 30） mL. The average drainage during 24 hours after operation was 20（ 10 -30）mL. No hoarseness or hypocalcelnia ocurred after operation. The average hospital stay was 3 （ 2 - 4 ） days. Conclusions Using LigaSure for thyroidectomy can reduce the volume of bleeding, decrease complications rate, operation time and recovery time, and provides less trauma and a good cosmetic outcome.