腔镜甲状腺手术的临床应用进展

The clinical application progress of endoscopic thyroid surgery

伴随着近几十年来腹腔镜技术在国内外的迅速发展,腔镜技术已经在各医学学科领域得到广泛应用,甲状腺外科由于腔镜技术的应用也达到了一个新的高度。传统甲状腺手术创伤较大,术后在颈部遗留手术瘢痕,不具备美容效果。腔镜技术是一种微创手术方式,首先由国外学者Gagne于1996年应用于甲状旁腺次全切除术,国内从本世纪初期开始开展内镜下甲状腺手术,美容效果显著。随着内镜设备的不断改进及手术技术的不断提高,某些病例甚至可以做到无瘢痕,备受医生及患者的青睐,尤其是年轻的女性患者倾向于选择此种手术方法。

With the rapid developments of laparoscopic technology home and abroad in recent decades, endoscopic technique has been widely used in all areas of medicine. The thyroid surgery has reached a new height for using endoscopy. The traditional thyroid surgery has larger trauma, postoperative scars on neck, it is not cosmetic. Endoscopy is a minimally invasive method. First, it was used for subtotal resection of parathyroid hormone by the foreign scholar Gagne in 1996. Endoscopic technique for thyroid surgery was performed from the beginning of this century in our country, and it has a significant cosmetic effect. With continuous improvement of endoscopic device and surgical techniques, some cases can even finish without scars. The endoscopic technique was loved by doctors and patients, especially for young female patients.