腔镜下甲状腺切除术的临床应用(附53例报告)

Application of endoscopic thyroidectomy in clinical practice with a report of 53 cases

  • 摘要: 目的 探讨腔镜下行甲状腺切除术的可行性及临床应用价值。方法 2003年10月-2010年1月对我院53例甲状腺不同疾病患者(26例甲状腺腺瘤、14例结节性甲状腺肿、2例甲状腺功能亢进和11例甲状腺癌)行腔镜下甲状腺手术。结果 完成手术52例,其中单孔腔镜手术3例,中转1例。平均手术时间90(62-210)min,术中出血5-50ml,术后平均住院5d。2例出现暂时性喉返神经麻痹,无甲状旁腺损伤等其他并发症发生。术后随访45例,时间8个月-5年,平均24月,患者均对手术治疗效果满意。结论 腔镜下甲状腺切除术安全可行,颈部无疤痕,具有很好手术及美容效果。

     

    Abstract: Objective To study the possibility and clinical value of laparoscopic thyroidectomyMethods Fifty-three patients(26 with thyroid adenoma,14 with nodular goiter,11 with thyroid carcinoma and 2 with hyperthyroidism) underwent endoscopic thyroidectomy in our hospital from October 2003 to January 2010Results The endoscopic thyroidectomy was successful in 52 patients.Of these patients,1 received single-port laparoscopic operation,1 was transferred to open surgery.The mean operation time was 90(62-210)min,the blood loss was 5-50ml,and the mean hospital stay time was 5 days.Forty-five patients were followed up for 8 months to 5 years(mean 24 months) after operation.All the patients were satisfied with the outcomeConclusion Laparoscopic thyroidectomy is a safe procedure with a good cosmetic effect and no scar formation.

     

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