腔镜甲状腺手术系列报道之手术空间的建立与维持

Endoscopic thyroid surgery:the creation and maintenance of surgical space

手术空间的建立与维持是ETS操作的第一步,关系到后续操作的顺利进行,具有重要意义,也是初学者要克服的第一难关。手术空间的维持主要有免充气、充气和混合空间3种方法。笔者总结了常见的腔镜甲状腺入路,并重点以胸前入路为例介绍手术空间建立的方法、注意事项和常见的并发症。

The creation and maintenance of surgical space is the first step of endoscopic thyroid surgery （ETS）, which is important for subsequent operation and an initial challenge to beginners. The three main methods of maintaining the surgical space are gasless suspension, CO2 insufflation and hybrid technique. In this article, the authors summarize the common approaches of ETS, and with special emphasis on the anterior chest approach, describe the methods for surgical space creation and maintenance as well as precautions and major complications.