经胸骨前入路腔镜甲状腺手术临床分析

Clinical analysis of laparoscopic thyroidectomy via anterior sternal approach

目的:探讨经胸骨前入路行腔镜甲状腺手术的方法、适应证及安全性。方法:回顾分析为22例甲状腺疾病患者经胸骨前入路行腔镜甲状腺手术的临床资料。结果:21例成功完成手术,其中腺瘤摘除术4例,单侧腺叶次全切除术12例,双侧腺叶次全切除术5例1,例甲状腺癌中转开放手术,行双侧甲状腺全切除及颈淋巴结廓清术。手术时间70～170 min,平均100 min,术后住院3～8 d,平均5 d。无神经及甲状旁腺损伤等并发症发生。随访1个月～3年,未见复发。结论:与传统甲状腺手术相比,胸骨前入路腔镜甲状腺切除术安全可行,且具有更好的美容效果。

Objective： To explore the method,indication and safety of laparoscopic thyroidectomy via anterior chest wall. Methods：The clinical data of 22 patients with thyroid diseases who underwent laparoscopic thyroidectomy via anterior chest wall were analyzed retrospectively. Results：Apart from 1 case was converted to open operation due to thyroid cancer,the rest 21 cases were operated successfully,including 4 cases of thyroid adenoma resection,12 cases of unilateral subtotal thyroidectomy,and 5 cases of bilateral subtotal thyroidectomy and radical dissection of neck lymh nodes.The mean operative time was 100 min（70-170 min）,the mean hospital stay was 5 d（3-8 d）.There were no complications such as neural injury or parathyroid glands injury.No recurrence was found in 1 month to 3 years＇ follow-up in all the patients. Conclusions：Laparoscopic thyroidectomy via anterior sternal approach is a safe,feasible and effective procedure with good cosmetic result.