腔镜甲状腺手术小技巧

Tiny skill of of laparoscopic thyroidectomy

目的探讨腔镜甲状腺切除术术中小技巧。方法采用经胸部乳晕入路行腹腔镜甲状腺肿瘤切除术34例,其中甲状腺腺瘤8例,结节性甲状腺肿24例,甲状腺癌2例。结果成功完成手术31例,行甲状腺次全切除术21例,甲状腺肿物切除术10例,中转开放手术3例,其中2例为术中报告甲状腺癌后中转,手术时间60～180 min,平均92 min,无神经及甲状旁腺损伤,无血肿及皮下积液,出现气管损伤1例,术后住院时间3～7 d,平均4 d。患者对手术的美容效果满意。结论腔镜甲状腺手术是一种安全的手术方法,具有较好的美容效果。

Objective To approach the tiny skill in thyroidectomy with laparoscope. Methods Laparoscopic thyroidectomy via areola of breasts was performed in 34 patients,including 8 cases of thyroid adenoma,24 cases of nodular goiter, 2 cases of thyroid papillary carcinoma. Results The laparoscopic thyroidectomy was successfully carried out in 31 cases, including tumor dissection in 10 cases,subtotal thyroidectomy in 21 cases,3 cases wee converted into open surgery. The operative time length ranged from 60 to 180 min （ mean 92 min）. There were no complications of damage in recurrent laryngeal nerve and laryngeal nerve or parathyroid glands. There were no hematonm and subcutaneously fluidify,there was one damage of trachea. Postoperative hospital stay ranged from 3 to 7 days（ mean 4 days）. All patients were satisfied with the cosmetic results.Conclusion Endoscopic thyroidectomy is a safe and effective method of thyroid surgery. It is guaranteed as the obvious cosmetic effect of this method.