Video-assisted minimally invasive endoscopic thyroid surgery using a gasless neck skin lifting method--153 cases of benign thyroid tumors and applicability for large tumors.
Video-assisted minimally invasive endoscopic thyroid surgery using a gasless neck skin lifting method--153 cases of benign thyroid tumors and applicability for large tumors.
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视频辅助微创内窥镜甲状腺手术采用无气颈部皮肤提拉术--153例甲状腺良性肿瘤及对大肿瘤的适用性。
DOI：
10.1016/s0753-3322(02)00239-1
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Shigeo Tanaka
中科院分区：
文献类型：
--
作者：
K. Shimizu;W. Kitagawa;H. Akasu;K. Hirai;Shigeo Tanaka
鉴于最近的发展，内窥镜手术通常被认为是“微创手术”。特别地，从美容的角度来看，内窥镜内分泌颈部手术是理想的。在这里，我们根据 167 例病例（162 例甲状腺肿瘤、5 例甲状旁腺肿瘤）的经验，比较了我们最初的视频辅助颈部手术内窥镜方法（VANS 方法）与传统手术在切除直径超过 5 厘米的甲状腺肿瘤时的有效性。确定接受 VANS 方法的患者占接受颈部手术的患者总数的百分比，并分析不同手术中使用的手术程序。统计比较153例甲状腺良性肿瘤小肿瘤组（n = 130，<5 cm）和大肿瘤组（n = 23，≥5 cm）的手术时间和失血量。超过60%的良性甲状腺肿瘤和5.3%的恶性甲状腺肿瘤采用VANS方法进行手术。近叶或次全肺叶切除术是良性肿瘤最常见的手术（64.1%）。恶性肿瘤被定义为直径小于 1 厘米的乳头状癌。所有恶性肿瘤均进行全肺叶切除术并清除淋巴结。尽管大肿瘤组的手术时间和失血量在统计上比小肿瘤组要长，但随着经验的增加，安全切除最大 7.4 厘米的肿瘤是可能的。我们的研究结果支持这样的观点：VANS 方法可行、实用、安全，并且具有巨大的美容益处，甚至对于切除大型良性肿瘤也是如此。
Endoscopic surgery is often considered to be ‘minimally invasive surgery’ in the light of recent developments. In particular, endoscopic endocrine neck surgery is desirable from a cosmetic viewpoint. Here we compared the usefulness of our original endoscopic method of video-assisted neck surgery (the VANS method) with conventional surgery when challenged with the removal of thyroid tumors measuring more than 5 cm in diameter, based on our experience with 167 cases (162 thyroid tumors, five parathyroid tumors). The percentage of patients who underwent the VANS method of the total number of patients who underwent neck surgery was determined and the operative procedures used in the different surgeries were analyzed. The operating time and blood loss for 153 benign thyroid tumors were statistically compared between the small-tumor group (n = 130, <5 cm) and the large-tumor group (n = 23, ≥5 cm). More than 60% of the benign and 5.3% of the malignant thyroid tumors were operated on by the VANS method. Near- or subtotal lobectomy was the most common procedure (64.1%) for benign tumors. Malignancy was defined as papillary carcinoma less than 1 cm in diameter. Total lobectomy with lymph node clearance was performed for all malignant tumors. Although the operating time and the blood loss were statistically greater in the large-tumor group than the small-tumor group, with increased experience it was possible to remove tumors of up to 7.4 cm safely. Our findings support the idea that the VANS method is feasible, practical, and safe, and has great cosmetic benefits, even for the removal of large benign tumors.
视频辅助颈部甲状腺肿瘤手术
DOI：
--
发表时间：
2009
期刊：
影响因子：
--
作者：
Nakajo A;Natsugoe S;et al.
通讯作者：
et al.