喉返神经显露技术在腔镜甲状腺切除中的应用

Identification techniques of the recurrent laryngeal nerve in endoscopic thyroidectomy

目的:探讨腔镜下甲状腺切除术中喉返神经的显露技巧。方法:回顾性分析20例行胸乳晕入路腔镜下甲状腺切除术患者的临床资料。结果:本组20例患者均于术中顺利完成喉返神经探查,术后未见有声音嘶哑等并发症发生。结论:应用钝锐性结合的方法,在彻底游离甲状腺的基础上,切除腺体和显露喉返神经同时进行是可行而且安全的。

Objective To investigate the application of identification techniques of the recurrent laryngeal nerve （RLN） in endothyroidectomies.Methods Routine identification of the RLN was performed in a series of 20 consecutive endothyroidectomies,and the clinical data were reviewed.Results Totally 20 RLNs were dissected.Neither transient nor permanent RLN injury occured.Conclusion To expose RLN,both sharp and blunt dissection should be applied skillfully.Thorough liberation of the thyroid lobe is essential for the identification of RLN.It is safe and feasible to remove the thyroid and identify the RLN simultaneously.