经胸前壁入路腔镜甲状腺切除术12例临床体会

The clinical application of laparoscopic thyroidectomy via anterior chest wall approach:with a report of 12 cases

目的:探讨经胸前壁入路腔镜甲状腺切除术的可行性。方法:回顾分析2007年9月至12月我院采用经胸前壁入路行腔镜甲状腺切除术12例患者的临床资料,并总结手术方法及并发症的预防经验。结果:本组患者均痊愈出院。手术时间1.5～3h,平均住院5.5d。无喉上神经、喉返神经及大出血等并发症发生。结论:经胸前壁入路腔镜甲状腺切除术,切口隐蔽美观,住院时间短,是可选择的术式。

Objective：To explore the value,safty and feasibility of laparoscopic thyroidectomy via anterior chest wall.Methods：The clinical data of 12 cases who underwent laparoscopic thyroidectomy via anterior chest wall in our hospital from Sep.to Dec.2007 were analyzed retrospectively.Results：All cases completed laparoscopic operation successfully,without complications such as bleeding or damage of superior laryngeal nerve and recurrent laryngeal nerve.The operation time was ranged from 1.5 to 3 hours,the average hospitalization time was 5.5d.Conclusions：Laparoscopic thyroidectomy via anterior chest wall approach is a good choice with advantages of fine cosmetic result and less hospitalization time.