中国实用外科杂志2011，Vol.31Issue(5)：423-425,3.
经胸乳入路腔镜与开放手术治疗甲状腺良性肿瘤对比研究
Endoscopic thyroidectomy via breast approach versus conventional open thyroidectomy for benign thyroid tumor: a retrospective study
赵霞 1张能维 1朱斌 1路夷平 1宫轲 1王桐生 1张东东1
作者信息
- 1. 北京世纪坛医院腹腔镜中心,北京,100038
- 折叠
摘要
Abstract
Objective To explore the safety and feasibility of endoscopic thyroidectomy via breast approach. Methods The clinical data of 275 patients with benign thyroid tumor admitted between December 2005 and October 2009 at Beijing Shijitan Hospital were analyzed retrospectively. Results One hundred and twenty-four patients underwent endoscopic thyroidectomy (endoscopy group) and 151 patients underwent conventional open thyroidectomy (open group).There was no significant difference in the postoperative hospital stay, volume of drainage and the analgesic requirements between two groups. Blood loss was significantly less in endoscopy group than that in open group (24.52 ±9.87)mL vs (39.67±25.88)mL (P＜ 0.05), but operative time was longer in endoscopy group than that in open group (127.66±34.83)min vs (95.17±29.86) min (P＜0.05).The cost of hospitalization in endoscopy group was higher than that in open group.The degree of satisfaction for cosmetic outcome in endoscopy group was higher than that in open group(8.94±0.81 )vs (5.74± 1.61) (P＜ 0.05). No severe postoperative complication was encountered, such as massive hemorrhage, injuries of the recurrent or superior laryngeal nerve, or parathyroid gland injury. Conclusion Endoscopic thyroidectomy has mini-open, less blood loss and excellent cosmetic benefits. Endoscopic thyroidectomy is feasible and safe for thyroid disease.关键词
腔镜甲状腺手术/甲状腺良性肿瘤/开放甲状腺手术Key words
endoscopic thyroidectomy/ benign thyroid tumor/ open thyroidectomy分类
医药卫生引用本文复制引用
赵霞,张能维,朱斌,路夷平,宫轲,王桐生,张东东..经胸乳入路腔镜与开放手术治疗甲状腺良性肿瘤对比研究[J].中国实用外科杂志,2011,31(5):423-425,3.
