免充气经胸乳入路腔镜下甲状腺切除术20例报告

Gasless Endoscopy to Thyroidectomy by Trans-areolar Approach:A Report of 20 Cases

目的探讨免充气经胸乳入路腔镜下甲状腺切除术的可行性、安全性、优越性。方法对20例甲状腺疾病,利用悬吊器经颈前皮下悬吊颈前皮瓣,免充CO2气体,在腔镜下行单侧或双侧甲状腺次全切除术。结果 20例手术均成功完成,无中转开放手术。平均手术时间80 min,术中平均出血量20 ml,术中及术后无并发症发生,术后平均住院4.5 d。结论颈前皮瓣悬吊免充CO2气体经胸乳入路腔镜下甲状腺手术安全可行,避免了CO2气体造成的相关并发症。

Objective To study the feasibility and safety and superiority of endoscopic thyroidectomy trans-areolar approach by using gasless method.Methods A total of 20 patients with thyroid diseases were enrolled in this study.All the cases underwent endoscopic subtotal thyroidectomy by trans-areolar approach while the operational space was established by using an abdomen suspending device to suspend mechanically and retract the anterior neck skin.Results The endoscopic subtotal thyroidectomy was completed successfully in all of the cases without conversion to open surgery.The mean operation time was 80 minutes.Intraoperative blood loss was 20 ml.The mean hospitalization was 4.5 days,during and after operation no complications occurred.Conclusion Endoscopic thyroidectomy trans-areolar approach using gasless method is a safe and feasibility procedure.By using the method,CO2 insufflation-related complications can be avoided.