经口入路腔镜下甲状腺切除手术五例经验

Transoral laparoscopic thyroidectomy： an experience of 5 cases

目的探讨经口入路腔镜下甲状腺切除手术的可行性及其临床应用价值。方法对5例甲状腺疾病患者实施经口人路的腔镜下甲状腺切除术，年龄35—60岁，平均42岁。术前均行B超检查，均为甲状腺单发肿块，肿块直径2～3．4cm，平均2．5cm。结果5例手术均获成功，无中转开放手术者，手术时间120～210min，平均170min，术中出血量15～60ml，术后均不放引流，患者恢复良好，无手术并发症。结论经口入路腔镜治疗甲状腺疾病是安全、有效的。

Objective To evaluate the feasibility and results of transoral laparoscopic thyroideetomy. Method Thyroidectomy was attempted in 5 cases,including 4 females and 1 male with the average age of 42 years（range 35 -60 years）. All patients was diagnosed as single nodule of the thyroid gland confirmed by B-mode ultrasound examination before the operation. The average diameter of nodule was 2. 5 cm （ range 2 - 3.4 em）. Result Transoral laparoseopic thyroidectomy was performed successfully in all 5 patients. The operation time was 120 -210 rain,averaging 170 min, blood loss during the operation was 15 -60 ml, the postoperative hospitalization was 4 days. There was no conversion to open surgery, no recurrent laryngeal nerve injury, nor parathyroid glands dysfunction. Conclusions Transoral laparoscopic thyroidectomy is feasible and safe, giving excellent cosmetic results.