完全内镜下手术治疗胸骨后甲状腺肿临床经验

Experience of managing substernal goiter by totally endoscopic procedure

甲状腺肿是目前临床上常见的疾病之一，胸骨后甲状腺肿的发病率较低，多数患者需要通过外科手术方法进行治疗。传统的手术方法不可避免地会在颈部留下永久性的瘢痕，自20世纪90年代末内镜下甲状腺手术问世以来，其美容效果逐渐被认可，但关于其治疗胸骨后甲状腺肿的临床应用研究并不多见。为扩大内镜手术在甲状腺疾病治疗应用的适应证，我们进行了内镜手术治疗胸骨后甲状腺肿的尝试，现报告如下。

SUMMARY To summarize the experience of managing substernal goiter by totally endoscopic procedure and evaluate the curative effect , we analysed eight patients diagnosed as substernal goiter type Ⅰ and treated with totally endoscopic technique via central routing approach during March 2011 to June 2013 in Beijing Shijitan Hospital retrospectively .The feasibility , safety and curative effect of this surgical tech-nique were estimated .All the cases were successfully operated with the totally endoscopic procedure , and the pathological result showed that 6 were goiter and the other 2 were minimal papillary carcinoma .None of the patients suffered from any complication , and the median follow up time was 6 months （ 1 -28 months） .The totally endoscopic technique is a feasible , safe and cosmic one for managing substernal goiter type Ⅰ.