100 cases of endoscopic thyroidectomy - Breast approach
100 cases of endoscopic thyroidectomy - Breast approach
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DOI：
10.1097/00129689-200302000-00005
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发表时间：
2003-02-01
影响因子：
1
通讯作者：
Bae, WG
中科院分区：
文献类型：
--
作者：
Park, YL;Han, WK;Bae, WG
颈部手术是内窥镜外科应用的最新领域之一。100例患者接受了内镜甲状腺切除术。我们使用了3个切口：1个在两个上环毛区，1个在肿瘤侧锁骨下约3 cm处。用CO在6 mm Hg的压力下吹入，形成颈阔下和皮下手术空间。用超声刀和常用的腹腔镜器械分离甲状腺血管和腺体实质。平均手术时间（± SD）2000年前为136 ± 10min，2000年为679 ± 10min（P < 0.05）。有6例转为常规甲状腺切除术。术后并发症5例。无皮下气肿。患者对美容效果满意。根据我们对这100例患者的经验，我们认为内窥镜甲状腺切除术是可行和安全的甲状腺肿瘤切除术。因此，该手术将提供另一种治疗甲状腺肿瘤的手术技术，具有最大的美容效果。
Neck surgery is one of the newest fields of endoscopic surgical application. One hundred patients underwent endoscopic thyroidectomy. We used 3 incisions: 1 on both upper circumareolar areas and 1 approximately 3 cm below the clavicle on the tumor side. Subplatysmal and subcutaneous operative space was created with CO, insufflation at 6 mm Hg of pressure. The thyroidal vessels and the parenchyma of the gland were dissected and divided with ultrasonic scalpel and commonly used laparoscopic instruments. The mean (+/-SD) operation time was 136 +/- 10 minutes before the year 2000 and 67 9 in the year 2000 (P < 0.05). There were six cases of conversion to conventional thyroidectomy. Postoperative complications occurred in five cases. There was no subcutaneous emphysema. The patients were satisfied with the cosmetic result. On the basis of our experience with these 100 patients, we believe that endoscopic throidectomy is feasible and safe for resection of thyroid tumors. Thus, this procedure will provide another surgical technique for treatment of thyroid tumors, with maximized cosmetic effect.