完全经乳晕入路腔镜甲状腺癌手术的临床应用

目的探讨完全经乳晕入路腔镜甲状腺癌手术的可行性。方法回顾性分析2014年6月至2016年6月29例行完全经乳晕入路腔镜甲状腺癌手术的临床资料。结果29例患者的住院时间（5．53±0．96）d、手术时间（126．42±41．35）min、淋巴结清扫数目（5．63±1．07）枚、术中出血量（36．32±3．42）ml、术后引流量（59．47±5．96）ml、低钙血症0例（0．00％）、喉返神经损伤1例（3．45％）。结论完全经乳晕入路腔镜甲状腺癌手术是安全可行的。

Objective To investigate the feasibility of laparoscopic surgery for thyroid carcinoma via breast areola approach. Methods The clinical data of 29 cases undergoing laparoscopic surgery for thyroid carcinoma via breast areola approach in the first people＇s hospital of Fuyang Hangzhou from June 2014 to June 2016 were collected. Results The patients＇ length of stay was （ 6.53 ± 0.96 ） d, operation time was （ 126.42 ± 41.35 ） rain, number of lymph node dissection wasaa （ 4.63 ± 1.07 ） , operation bleeding was （ 36.32 ± 3.42 ） ml, postoperative draining quantity was （ 59.47 ±5.96 ） ml, hypocalcaemia was 0 case （ 0.00% ） and recurrent nerve injury occurred in 1 case （ 3.45% ） . Conclusion Laparoscopic surgery for thyroid carcinoma via breast areola approach is safe and feasible.