Are there significant benefits of minimally invasive endoscopic thyroidectomy?
Are there significant benefits of minimally invasive endoscopic thyroidectomy?
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DOI：
10.1007/s00268-004-7655-2
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发表时间：
2004-11-01
影响因子：
2.6
通讯作者：
Kurihara, H
中科院分区：
文献类型：
--
作者：
Ikeda, Y;Takami, H;Kurihara, H
使用内窥镜视觉的微创手术被广泛应用于甲状腺疾病的治疗。我们通过腋窝入路(腋窝入路)进行了内窥镜甲状腺切除术，并通过颈部3厘米的切口进行了电视辅助甲状腺切除术(视频辅助入路)。在这项研究中，我们评估了这两种手术的疗效。每个手术都是在20名连续同意的患者中进行的。根据术后结果比较手术后的侵袭程度。疼痛程度和对手术的满意度通过患者问卷进行分级(1-5)。所有甲状腺切除术均顺利完成。无喉返神经麻痹发生。电视辅助入路的手术时间明显短于腋窝入路(p<；0.01)。腋窝入路术后第1、3、5天疼痛评分分别为3.2±0.7、2.1±0.6。和1.6±0.7，而视频辅助手术分别为2.7±1.1、1.7±0.7和1.1±0.2。在术后第3天和第5天，接受视频辅助手术的患者术后病程明显减少(p<；0.01)。腋窝入路和电视辅助手术的满意度分别为1.2±0.4和2.4±-1.0。分别为(p<；0.01)。视频辅助入路比腋窝入路侵袭性小，但腋窝入路可能适用于那些对可见的美容结果感到焦虑的患者。
Minimally invasive surgery using endoscopic vision is widely employed for the treatment of thyroid diseases. We have performed endoscopic thyroidectomy by the axillary approach (axillary approach) and video-assisted thyroidectomy via a 3 cm cervical incision (video-assisted approach). In this study, we evaluated the efficacy of these two procedures. Each procedure was performed in 20 consecutive consenting patients. The degree of invasiveness after surgery was compared using postoperative results. The amount of pain and satisfaction with surgery was evaluated by grade (1-5) using a patient questionnaire. All thyroidectomies were completed successfully. No recurrent laryngeal nerve palsies occurred. Operating time for the video-assisted approach was significantly shorter than that for the axillary approach (p < 0.01). The amount of pain for the axillary approach on 1, 3, and 5 days after operation, respectively, was graded 3.2±0.7, 2.1±0.6. and 1.6±0.7 compared to 2.7±1.1, 1.7±0.7, and 1.1 ±0.2 for the video-assisted approach. The postoperative course was significantly less painful in patients undergoing the video-assisted approach on postoperative days 3 and 5 (p < 0.01). The degrees of satisfaction for the axillary approach and the video-assisted procedure were 1.2+/-0.4 and 2.4 +/-1.0. respectivelY (p < 0.01). The video-assisted approach is less "invasive" than the axillary approach, but the axillary approach may be indicated for patients who are anxious about the visible cosmetic results.