Video-assisted neck surgery: Endoscopic resection of thyroid tumors with a very minimal neck wound
Video-assisted neck surgery: Endoscopic resection of thyroid tumors with a very minimal neck wound
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DOI：
10.1016/s1072-7515(99)00048-4
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发表时间：
1999-06-01
影响因子：
5.2
通讯作者：
Tanaka, S
中科院分区：
文献类型：
--
作者：
Shimizu, K;Akira, S;Tanaka, S
结果5例患者的性别、年龄、手术时间、手术方式、出血量、肿瘤大小、肿瘤重量、病理情况、术后住院时间等详细信息见表1。表中，摘除是指切除肿瘤，伴或不伴周围正常甲状腺。半甲状腺切除术是指结扎甲状腺上下动脉，将肿瘤连同甲状腺半叶一起切除。对良性结节患者安全地进行肿瘤摘除术，留下周围正常甲状腺组织，无需确认是否需要识别喉返神经。使用 HS 后，无需特殊技术即可确保剩余甲状腺组织的止血。良性肿瘤的最大直径为2.0至4.5厘米（平均3.2厘米），重量为2.9至27.5克（平均11.3克）。出血量为 8 至 200 mL（平均 65.4 mL）。 1、2、4、5 号患者的最终病理诊断为腺瘤结节或滤泡性腺瘤。3 号患者在术前 FNA 诊断出可疑病变后，进行了半甲状腺切除术（图 3），并进行了预防性淋巴结清扫。
RESULTSDetails of the five patients with regard to gender, age, operating time, operating procedure, amount of bleeding, tumor size, tumor weight, pathology, and postoperative stay are described in Table 1. In this table, extirpation means resection of tumor with or without surrounding normal thyroid. Hemithyroidectomy means that superior and inferior thyroid arteries are ligated and the tumor is resected with the whole hemilobe of the thyroid gland. Tumor extirpation leaving surrounding normal thyroid tissue was safely performed on patients with benign nodules without confirming the need to identify the recurrent laryngeal nerve. With the use of HS, no special technique was required to secure hemostasis of the remaining thyroid tissue. With regard to the benign tumors, the sizes ranged from 2.0 to 4.5 cm in maximum diameter (mean 3.2 cm) and weight ranged from 2.9 to 27.5 g (mean 11.3 g). The amount of bleeding ranged from 8 to 200 mL (mean 65.4 mL). The final pathologic diagnosis was adenomatous nodule or follicular adenoma in patients 1, 2, 4, and 5. In patient 3, after the preoperative FNA diagnosis of a suspicious lesion, a hemithyroidectomy was performed (Fig. 3) with a prophylactic lymph node dis-