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颈腔镜下不使用超声刀的甲状腺手术6例

Endoscopic thyroidectomy without the use of ultrasonic scalpel: Report of 6 cases

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【作者】 彭毅钟东钟立明张风涛叶建宇周晓初尹耀新熊沛

【Author】 Peng Yi,Zhong Dong,Zhong Liming,et al.Laparoendoscopic Surgery Centre, Peking University Shenzhen Hospital,Shenzhen 518036,China

【机构】 北京大学深圳医院腔镜外科中心北京大学深圳医院腔镜外科中心 深圳518036深圳518036

【摘要】 目的探讨不用超声刀施行腔镜甲状腺手术的可行性。方法应用单极高频电刀行腔镜下甲状腺良性肿物切除术6例。结果全部病例手术均获成功。手术时间80~200 m in,平均110 m in;术中出血量25~50 m l,平均36 m l。术后24 h下床活动,进流质饮食,无并发症。术后第2天拔颈部引流管,术后3~5 d出院。结论高频电刀行腔镜甲状腺手术安全、可行。

【Abstract】 Objective To explore the feasibility of endoscopic thyroidectomy without the use of ultrasonic scalpel.Methods Monopolar high frequency electrosurgical unit was used to complete endoscopic thyroidectomy in 6 cases of thyroid benign tumors.Results All the operations were completed successfully.The operation time was 80~200 min(mean,110 min) and the intraoperative blood loss was 25~50 ml(mean,36 ml).The patients got out-of-bed activities and took liquid diets at a mean of 24 hours postoperatively.No complications was found.The drainage tube was removed on 2 days after operation and the patients were discharged from hospital at 3~5 days.Conclusions Use of high frequency electrosurgical unit for endoscopic thyroidectomy is safe and feasible.

  • 【文献出处】 中国微创外科杂志 ,Chinese Journal of Minimally Invasive Surgery , 编辑部邮箱 ,2006年03期
  • 【分类号】R653
  • 【被引频次】9
  • 【下载频次】61
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