完全内镜双侧腋窝同侧乳晕径路甲状腺手术的临床应用

Clinical application of total endoscopic thyroidectomy via bilateral axillary and ipsilateral breast approach

目的:探讨完全内镜双侧腋窝同侧乳晕径路(BAIBA)甲状腺手术的安全性、可行性。方法:对2010年4月—2012年3月同一手术者开展的35例BAIBA内镜甲状腺手术的病例资料进行分析,并介绍该手术方法。结果:35例均成功的完成手术,无中转手术。手术时间(126±26.3)min,术中出血量(15.3±3.49)mL,手术分离皮瓣的面积(118.6±8.74)cm2。术后无并发症,术后第1天引流量(89.5±62.36)mL。术后住院时间2～3 d,术后疼痛评分0～2分。术后随访4～20个月,无复发,对美容效果满意。结论:BAIBA内镜甲状腺手术是安全的、可行的,具有美观、疼痛轻、恢复快的优点。

Objective： To assess the feasibility and safety of total endoscopic thyroidectomy via bilateral axillary and ipsilateral breast approach （BAIBA）. Methods： The data of 35 patients with thyroid diseases who underwent BAIBA endoscopic thyroidectomy performed by the same surgeon between April 2010 and March 2012 were analyzed, and the surgical procedures were described. Results： Operations were successfully completed in all the 35 patients without conversion to open surgery. The average operative time was （126±26.3） min, intraoperative blood loss was （15.3±3.49） mL and mean size of the skin flap was （118.6±8.74） cm2. No postoperative complication occurredj and postoperative drainage volume on day 1 was （89.5-±62.36） mL. The average length of postoperative hospital stay was 2-3 d and thepostoperative pain score was 0-2. Follow-up ranged from 4 to 20 months; no recurrence was noted and the cosmetic results were satisfactory. Conclusion： BAIBA endoscopic thyroidectomy cosmetic outcome, less pain, and quick recovery. is safe and feasible, and it has the advantages of excellent