摘要
目的探讨腔镜辅助微创甲状腺手术的可行性、优越性和经验。方法18例甲状腺结节患者,肿块最大6.0cm×4.2cm,最小3.5cm×2.0cm,取胸骨切迹上2.0cm处切口,长约2.5～3.0cm,在腔镜辅助下用超声刀进行单侧甲状腺部分切除术12例,次全切除术3例,单侧+峡部切除术1例;一侧甲状腺次全切除+对侧部分切除术2例。结果18例手术均顺利完成,手术时间1～2.5h,无并发症发生。病理结果除1例微小癌外,均为良性病变。结论对于大多数良性甲状腺疾病,腔镜辅助微创甲状腺手术是一种创伤较小,有一定美容效果,相对简单,易于推广的有效手术治疗方法。
Objective To study the feasibility,superiority and experience of minimally invasive video-assisted surgery of the thyroid using ultrosonic scalpel.Methods There were 18 cases whose diagnosis were thyroid node.The size of the nodes ranged from 6.0 cm×4.2 cm to 3.5 cm×2.0 cm in ultrosonography.An about 2.5～3.0 cm incision was made 2.0 cm above the suprasternal notch and the operation was vedio-assisted and performed with ultrosonic scalpel for partial or subtotal thyroidectomy of lateral or bilateral thyroid.Results All 18 cases were subjected to minimally invasive video-assisted surgery successfully in 2.5 h and no complications occurred.Seventeen cases of benign lesion were confirmed pathologically.[WT5HZ]Conclusion Video-assisted surgery of the thyroid is an effective operation and can bring about good cosmetic result.
出处
《临床外科杂志》
2005年第7期437-438,共2页
Journal of Clinical Surgery
关键词
微创
甲状腺
手术
腔镜
minimally invasive surgery
thyroid
operation
video-assisted
