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经胸乳入路腔镜甲状腺手术在甲状腺良性肿瘤中的应用 被引量:14

Application value of the endoscopic thyroidectomy in benign thyroid neoplasms by trans-thoracoareolar approach
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摘要 目的:比较经胸乳入路腔镜甲状腺手术与传统甲状腺手术治疗甲状腺良性肿瘤的临床疗效。方法:回顾性分析手术治疗的甲状腺良性肿瘤病人90例,其中腔镜组30例,接受经胸乳入路腔镜甲状腺手术;传统组60例,接受传统开放性甲状腺手术。比较2组病人的手术时间、术中出血量、术后首日引流量、术后住院时间、术后住院费用、术后并发症、术后首日疼痛评分以及对切口美观满意度,术后随访3个月。结果:与传统组比较,腔镜组病人手术时间明显延长(P<0.01),术中出血量、术后首日引流量均明显下降(P<0.01),术后住院时间明显缩短(P<0.01),术后首日疼痛评分明显降低(P<0.01),而住院费用明显增高(P<0.01)。2组病人均顺利治愈出院,术后并发症差异无统计学意义(P>0.05)。术后随访3个月,腔镜组病人术后切口满意度明显优于传统组(P<0.01)。结论:经胸乳入路腔镜甲状腺手术是一种安全、有效的手术方式,具有术中出血少、住院时间短、颈部瘢痕轻微、病人满意度高等优势。 Objective:To compare the clinical efficacy between endoscopic thyroidectomy by trans-thoracoareolar approach and traditional thyroidectomy in the treatment of benign thyroid tumors.Methods:The clinical data in 90 benign thyroid tumor patients treated with operation were retrospectively analyzed.The patients were divided into the endoscopic group(30 cases treated with endoscopic thyroidectomy by trans-thoracoareolar approach)and traditional group(60 cases treated with traditional open thyroid surgery).Two groups were followed up for 3 months,and the operation time,intraoperative blood loss,drainage volume on the first day after surgery,postoperative hospitalization length,postoperative hospitalization costs,postoperative complications,pain score on the first day after surgery,and aesthetic satisfaction with incision were compared between two groups.Results:Compared with the traditional group,the operative time significantly prolonged(P<0.01),the intraoperative blood loss and drainage volume on the first day after surgery significantly decreased(P<0.01),the postoperative hospital stay significantly shortened(P<0.01),the postoperative pain score on the first day significantly decreased(P<0.01),and the hospital stay cost significantly increased in the endoscopic group(P<0.01).All patients were successfully cured and discharged,and the difference of the postoperative complications between two groups was not statistically significant(P>0.05).During the period of following up,the postoperative incision satisfaction in endoscopic group was significantly better than that in traditional group(P<0.01).Conclusions:The endoscopic thyroidectomy by trans-thoracoareolar is safe and effective,and has the advantages of less intraoperative bleeding,short hospital stay,slight neck scar and high patient satisfaction.
作者 邓锐 周少波 贲大刚 王远鹏 DENG Rui;ZHOU Shao-bo;BEN Da-gang;WANG Yuan-peng(Department of General Surgery,The Second Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233040,China)
出处 《蚌埠医学院学报》 CAS 2020年第5期606-608,612,共4页 Journal of Bengbu Medical College
关键词 甲状腺良性肿瘤 胸乳入路 腔镜手术 benign thyroid neoplasms trans-thoracoareolar approach endoscopy surgery
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  • 1中华医学会外科分会腹腔镜与内镜外科学组.腔镜甲状腺手术常规[J].腹腔镜外科杂志,2005,10(4):256-256. 被引量:72
  • 2高力.Miccoli内镜术式与甲状腺手术操作的微创化[J].中华外科杂志,2006,44(1):10-13. 被引量:80
  • 3Spinelli C, Donatini G, Berti P, et al. Minimally invasive videoassisted thyroidectomy in pediatric patients. J Pediatr Surg,2008,43(7) :1259 - 1261.
  • 4Benhidjeb T, Wilhelm T, Harlaar J, et al. Natural orifice surgery on thyroid gland: totally transoral video-assisted thyroidectomy (TOVAT) : report of first experimental results of a new surgical method. Surg Endosc ,2009,23 ( 5 ) : 1119 -1120.
  • 5RubinoF ,,PamoukianVN,ZhuJF ,etal.Endoscopicendocrinenecksurgerywithcarbondioxdeinsufflation:theeffectonintracranialpressureinalargeanimalmodel[].Journal of Surgery.2000
  • 6Pelizzo MR, Boschin IM, Toniato A, et al. Papillary thyroid mi- crocarcinoma (FFMC): prognostic factors, management and out- come in 403 patients [J]. Eur J Surg Oncol, 2006, 32(10): 1144-1148.
  • 7Li Z, Wang P, Wang Y, et al. Endoscopic lateral neck dissection via breast approach for papillary thyroid carcinoma: a prelimi- nary report[J]. Surg Endosc,2011,25(3):890-896.
  • 8Yan H, Wang Y, Wang P, et al. "Scarless" (in the neck) endo- scopic thyroidectomy (SET) with ipsilateral levels Ⅱ ,Ⅲ and Ⅳ dissection via breast approach for papillary thyroid carcino- ma: a preliminary report [J]. Surg Endosc, 2015, 29(8): 2158-2163.
  • 9Anuwong A. Transoral endoscopic thyroidectomy vestibular ap- proach: A series of the first 60 human cases [J]. World J Surg, 2016,40(3): 491-497.
  • 10Calo PG, Pisano G, Medas F, et al. Total thyroidectomy without prophylactic central neck dissection in clinically node-negative papillary thyroid cancer: is it an adequate treatment? [J]. World J Surg Oncol,2014,12:152.

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