无注气内镜下小切口颌下腺切除术

Endoscopic submandibular gland surgery with minimal incision and without carbon dioxide neck insufflation

目的评价无注气内镜下小切口颌下腺切除术的可行性。方法对12例颌下腺炎或颌下腺良性肿瘤的患者采用内镜下小切口颌下腺切除术,切口位于下颌骨下缘1.5cm,长度2～2.5cm。结果所有12例患者均于内镜下完整切除颌下腺及肿物。术后病理:7例是混合瘤、4例是慢性颌下腺炎、1例颌下腺表皮样囊肿。手术时间50～80min,平均为(63.8±9.1)min,术中出血10～40mL,平均为(25.8±10.4)mL。没有手术并发症,无1例中转手术,术后仅遗留小切口疤痕,美容效果好。结论内镜下小切口颌下腺切除术是可行的,操作相对简单,便于中转,术后美观好,为临床治疗颌下腺良性疾病提供一种新术式。

[Objective] To evaluate endoscopic resection of submandibular gland through a minimal skin incision without carbon dioxide neck insufflation. [Methods] 12 patients were performed endoscopic resection of sub- mandibular gland via a minimal skin incision, and the incision located 1.5 cm under the mandible, with the length of 2-2.5 cm. [Result] All 12 patients were successfully performed endoscopic resection, and no conversions to con- ventional open ressection were necessary. Of the 12 patients, 7 were mixed tumor, 4 were chronic sialoadenitis, 1 was epidermoid cyst. The procedures lasted 50-80 minutes [mean （63.8±9.1） minutes]. The hemorrhage of proce dures were 10-40 mL [mean （25.8±10.4） mL]. No complications associated with the operation were occurred, and the scar was very small concealed in the neck skin crease with a better cosmetic result. [ Conclutions ]Endoscopie resection of submandibular gland is a feasible method for treatment of benign lesions. The main advantages of this method are very eonvenient and easy to converse, resulting in a better cosmetic result.