摘要
目的:评估经胸前乳晕入路于CO2气体灌注下施行腔镜甲状腺切除术的可行性和安全性。方法:回顾分析2005年6月至2011年5月为105例甲状腺良性肿瘤患者行腔镜甲状腺切除术的临床资料。经乳头平面胸前做10 mm切口,分别于双侧乳晕上缘做5 mm切口,注入肾上腺素稀释液,直视下用分离棒及超声刀建立手术空间。结果:102例手术成功完成,3例患者因术中病检提示滤泡状癌中转开放手术。术后均未发生低血钙及持久的喉返神经损伤2,例发生短暂性喉返神经麻痹。结论:经前胸壁乳晕入路施行腔镜甲状腺切除术治疗甲状腺良性肿瘤安全可行,可创建理想的手术空间,具有美容效果。
Objective：To estimate the feasibility and safety of endoscopic thyroidectomy（ET） using an anterior chest and mammary areola approach with carbon dioxide insufflation. Methods：The clinical data of 105 patients who suffered from benign thyroid neoplasms and underwent ET from Jun.2005 to May 2011 were retrospectively analyzed.The working space was created under a direct and endoscopic view via a 10 mm incision on the anterior chest wall at nipple level and two 5 mm incisions on the superior margin of areola,after injection of epinephrine dilution,ultrasonic scalpel and separated sticks were used to establish the working space. Results：The procedures were completed successfully in 102 patients.Three patients were converted to conventional thyroidectomy as pathological examination indicating follicular carcinoma during operation,none of the patients developed postoperative hypocalcemia or permanent recurrent laryngeal nerve injury.Two patients exhibited transient recurrent laryngeal palsy. Conclusions：ET using anterior chest and mammary areola approach is safe and feasible in selected patients with benign thyroid tumors,this technique could offer optimal operative working space and better cosmetic effects.
出处
《腹腔镜外科杂志》
2011年第8期592-594,共3页
Journal of Laparoscopic Surgery
