3D腔鏡經胸乳入路甲狀腺手術的臨床效果分析

A clinical study of three-dimensional laparoscopic thyroidectomy via a breast approach

目的探討3D腔鏡系統在經胸乳入路甲狀腺切除術中的安全性、有效性及可行性。方法將2015年3月~2016年6月,本科行2D腔鏡甲狀腺切除術23例患者,與同期行3D腔鏡甲狀腺切除術的10例患者臨床資料進行對照研究,觀察兩組手術時間、術中出血量、術後引流量、術後住院時間、總住院費用。結果兩組均術中無異常出血,無中轉開放手術;3D組手術時間顯著短於與2D組,分別為79.25±10.34min和61.46±8.36min(t=6.354,P<0.05),術中出血量、術後引流量、術後住院時間及總住院費用等無明顯差異。結論3D腔鏡經乳暈甲狀腺切除術安全、有效,顯著縮短手術時間,可作為甲狀腺切除術的常規手術方法。

Objective To explore the safety,efficacy and feasibility of 3D laparoscopic thyroidectomy via a breast approach.Methods The clinical data of 10 patients undergoing 3D laparoscopic thyroidectomy via a breast approach were analysed in comparison with 23 patients receiving traditional laparoscopic thyrodectomy during the period from March 2015 to June 2016.The operation time,blood loss,postoperative drainage,postoperative hospital stay and total hospitalization expenses were compared between the two groups.Results The operation time in the 3D group(61.46±8.36 min)was significantly shorter than that in the 2D group(79.25±min)(t+6.354,p,0.05).The intra-operative blood loss,postoperative drainage,postoperative hospital stay and total hospitalization expenses did not show significant differences between the two groups.Conclusion 3D laparoscopic thyroidectomy via a breast approach is safe and effective with shortened operation time,and can be used as a routine operation for thyroidectomy.