【摘要】 目的探讨腔镜技术在甲状腺疾病治疗中的临床应用价值。方法采用胸前壁入路行腔镜甲状腺切除66例,其中甲状腺腺瘤7例,结节性甲状腺肿55例,甲状腺癌3例,继发性甲亢1例。结果成功完成手术65例,1例因术中出血中转开放。行单侧次全切除术42例,双侧次全切除术21例,甲状腺癌3例中行单侧腺叶加峡部切除2例,甲状腺全切1例。手术时间94(50～180)min,术中出血量21(10～200)mL,住院天数9(5～19)d。无神经损伤及甲状旁腺误切等严重并发症。随访1～11个月,均无复发(包括3例甲状腺癌)。结论腔镜甲状腺手术具有安全有效、创伤小、恢复快的优点,可作为甲状腺良性病变治疗的首选治疗手段。更多还原

【Abstract】 Objective To study the clinical value of endoscopic surgery for thyroid disease.Methods In 66 patients with thyroid disease,endoscopic thyroidectomy was performed,including 7 cases of thyroid adenoma,55 cases of nodular goiter,3 cases of thyroid cancer,and1 case of toxic nodular goiter.Results Among the 66 cases,endoscopic thyroidectomy was performed sucessfully in 65 cases,but 1 case was changed to open thyroidectomy.The operations included unilateral sub-total thyroidectomy in 42 cases,and bilateral sub-total thyroidectomy in 21 cases;3 in cases of thyroid cancer,total thyroidectomy was done in 1 case and unilateral total thyroidectomy plus isthmectomy was performed in 2 cases.The average operation time was 94(50-180)mins,while bleeding volume was 21(10-200)mlls and hospital stay was 9(5-19)days.There were no complications sucahs neural injury indavertent removal of parathyroid glands.No recurrence was found in 1 to 11 months follow up in all the cases(including 3 cases of thyroid cancer).Conclusions Laparoscopic thyroidectomy can be carried out safely and effectively with minimal trauma and rapid recovery,and is the nethod of choice for benign lesion of thyroid.更多还原