摘要
目的探索内镜辅助下甲状旁腺手术的可行性、安全性和效果。方法在颈部胸骨切迹上做一约2cm横切口,免充气,依靠拉钩提拉建立操作腔隙,内镜辅助下采用超声刀等手术器械分离切除病变甲状旁腺(3例无功能性甲状旁腺囊肿和7例甲状旁腺腺瘤伴甲状旁腺功能亢进症)。结果10例手术均获成功,无一例中转开放手术。手术时间20～70min,平均40min。术后无声嘶、呛咳、出血,3例出现一过性低钙血症。10例随访2～18个月,平均9个月,血钙和甲状旁腺素正常,美容效果满意。结论内镜辅助下甲状旁腺手术微创、安全,具有手术时间短、恢复快和美容的优点。
Objective To investigate the feasibility and effects of minimally invasive video-assisted parathyroidectomy （MIVAP） for parathyroid adenoma or cyst. Methods A 2 cm skin transverse incision was made above the suprasternal notch. Without gas insufflation, a cavity was built with retractors. Under endoscopic assistance, parathyroidectomy was performed by using a harmonic scalpel （3 cases of nonfunctioning parathyroid cyst and 7 cases of parathyroid adenoma accompanying hyperparathyroidism）. Results The operation was successfully accomplished in all the 10 cases, without conversions to open surgery. The operative time was 20- 70 min （mean, 40 min）. No hoarseness, choking cough, or hemorrhage occurred. A transient hypocalcemia developed in 3 cases. All the patients were followed for 2 - 18 months （ mean, 9 months） , with satisfactory curative and cosmetic results. Conclusions Minimally invasive video-assisted parathyroidectomy appears to be a safe and effective treatment with good cosmetic results and postoperative outcomes.
出处
《中国微创外科杂志》
CSCD
2007年第4期360-361,共2页
Chinese Journal of Minimally Invasive Surgery
