经胸乳入路的腹腔镜甲状腺切除术体会

Xiongru Laparoscopic Approach Thyroidectomy Experience

目的:探讨经胸乳入路腔镜下小切口甲状腺手术的方法与体会。方法:对43例甲状腺良性病变患者采用胸乳入路小切口腹腔镜手术,建立皮下空间,腔镜下超声刀行甲状腺部分或次全切除术。结果:43例腔镜下顺利完成手术,手术时间90～160分钟,平均110.5分钟。甲状腺肿瘤直径1.1～4.8cm,平均2.4±0.7cm。术后出现1例皮肤淤斑,给予活血化瘀后治愈。无死亡病例,未发生喉上、喉返神经及甲状旁腺损伤等严重并发症。术后住院时间5～7天,平均6.1天,术后2～3天拔除引流管。术后随访1～4个月,均无肿瘤复发,乳晕切口无瘢痕形成,美容效果好。结论:内镜下甲状腺手术美容效果好,手术并发症少安全性高,值得临床推广使用。

Objective：Explore the methods and experience by Xiongru Road endoscopic small incision thyroid surgery. Methods：43 cases of benign thyroid lesions approach small incision laparoscopic surgery Xiongru establish the subcutaneous space, endoscopic the ultrasonic scalpel thyroid part or subtotal resection.Results：The successful completion of the 43 cases of laparoscopic surgery, operation time was 90 ~ 160 min, an average of 110.5 min. Thyroid tumor diameter of 1.1~4.8cm, average （2.4 ± 0.7） cm. The postoperative cure one cases of skin ecchymosis, giving blood circulation. No deaths did not occur laryngeal, recurrent laryngeal nerve and parathyroid injury and other serious complications. Postoperative hospital stay was 5 ~7d, average 6.1d, after 2~3 d drainage tubes were removed. Were followed up for 1 to 4 months after surgery, there was no tumor recurrence, areola incision scar formation, good cosmetic results.Conclusion：Endoscopic thyroid surgery cosmetic results, fewer complications and high security, is worthy of clinical use.