【摘要】 目的探讨腔镜甲状腺切除术的可行性及安全性。方法经胸骨前路径行腔镜甲状腺切除术21例。其中甲状腺瘤13例、结节性甲状腺肿4例、原发性甲状腺机能亢进4例,行甲状腺瘤摘除术6例,单侧甲状腺次全切除11例,双侧甲状腺次全切除4例。结果手术过程顺利,平均手术时间(116±16.7)min,平均术中出血(40.0±23.6)mL,无中转开放手术,术后2、3d拔除引流管,无声嘶或甲状旁腺损伤等并发症,平均住院时间(7±3.5)d,术后随访3～14个月,无复发病例,美容效果满意。结论腔镜甲状腺手术是安全、有效、可行的。更多还原

【Abstract】 [Objective] To study the feasibility and security of endoscopic thyroidectomy. [Methods] Endoscopic thyroidectomy via chest wall approach was performed in 21 patients. 13 cases of thyroid tumor, 4 cases of nodular goiter, 4 cases of primary hyperthyroidism. 6 cases were performed adenoma resection, 11 cases were performed subtotal lobectomy; 4 cases were performed bilateral subtotal lobectomy. [Result] Operations were successfully performed in 21 cases. There was no operative complication, nor recur cases with 3～14 months follow-up. The mean operation time was (116±16.7) minutes; the average hospital stay was (7±3.5) days; the mean operation blooding is (40±23.6) mL, drainage-tube was withdraw on 2rd or 3th postoperation-day. [Conclusion] Endoscopic thyroidectomy is safe, effective and feasible.更多还原