【摘要】 目的探讨经乳晕径路腔镜甲状腺切除术的安全性和可行性。方法采用经乳晕入路腔镜甲状腺切除术89例。术前诊断甲状腺腺瘤49例,结节性甲状腺肿24例,桥本甲状腺炎6例,甲状腺功能亢进7例,甲状腺癌3例。行甲状腺肿块切除33例,甲状腺次全切除38例,甲状腺腺叶切除18例,行颈中央区淋巴结清扫9例。结果腔镜下成功完成手术85例,4例中转开放手术,术后2～4d拔除引流管。平均手术时间(83±36.7)min,平均术中出血量(42±21.9)mL,平均术后住院(3.5±1.1)d。术后并发症3例,其中2例喉返神经损伤,1例低血钙。术后随访4～47个月,4例复发。结论经乳晕入路腔镜甲状腺手术安全,可行,美容效果满意,对合适的病例可以常规应用。更多还原

【Abstract】 [Objective] To assess the feasibility and security of endoscopic thyroidectomy via breast areola approach (ETBAA). [Methods] Endoscopic thyroidectomy via areola of breasts approach was performed in 89 cases. Preoperative diagnosis included 49 cases of thyroid adenoma. 24 cases of nodular goiter, 6 cases of Hashimoto′s thyroiditis, 7 cases of Graves′ disease and 3 cases of thyroid cancer. Tumor enucleation was performed in 33 cases, subtotal thyroidectomy in 38 cases, lobectomy in 18 cases and central neck lymph node dissection in 9 cases. [Results] The endoscopic operation was successfully completed in 85 cases and a conversion to open procedure was performed in 4 cases. The mean operation duration was (83±36.7) minutes; the average operation bleeding was (42±21.9) mL; the mean hospital stay after surgery was (3.5±1.1) days; Postoperative complications occurred in 3 cases, including 2 cases of recurrent laryngeal nerve injury, 1 case of hypocalcemia. There was 4 recurring cases with 4~47 months postoperative follow-up. [Conclusion] Endoscopic thyroidectomy via breast areola approach is safe and feasible, and offers excellent advantages in terms of cosmetic results.It can be the procedure of choice when correct indications are strictly followed.更多还原