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腔镜甲状腺手术喉返神经的显露技巧

胡琛 钟晓华 陈超 黄学军 傅继勇 杨家君

腹腔镜外科杂志2012,Vol.17Issue(11):818-820,3.
腹腔镜外科杂志2012,Vol.17Issue(11):818-820,3.

腔镜甲状腺手术喉返神经的显露技巧

Clinical experience of exposing recurrent laryngeal nerve in endoscopic thyroid surgery

胡琛 1钟晓华 1陈超 1黄学军 1傅继勇 1杨家君1

作者信息

  • 1. 惠州市中心人民医院,广东惠州,516001
  • 折叠

摘要

Abstract

Objective; To summarize the experience of exposing recurrent laryngeal nerve (RLN) in endoscopic thyroid surger-y. Methods: The clinical data of 56 endoscopic near-total or total thyroidectomy were retrospectively analyzed. The approaches and methods of exposing RLN were summarized. Results: Fifty-three cases were performed successfully,3 cases were converted due to the malignant reports of intraoperative frozen section. The mean operative time was 125.3 min. The RLNs were exposing by three approaches; inferior pole of thyroid (23 cases) ,isthmus to tracheoesophageal groove (20 cases) and inferior horn of thyroid cartilage. During the 5d of hospital stay and 3 months of follow-up postoperatively no hoarseness was recorded. Conclusions: Exposing the recurrent laryngeal nerve in endoscopic thyroid surgery is safe and feasible and it can avoid the injury to RLN in endoscopic thyroidectomy.

关键词

甲状腺手术/内窥镜检查/喉返神经/显露技巧

Key words

Thyroid surgical procedure/Endoscopy/Recurrent laryngeal nerve/Exposing skills

分类

医药卫生

引用本文复制引用

胡琛,钟晓华,陈超,黄学军,傅继勇,杨家君..腔镜甲状腺手术喉返神经的显露技巧[J].腹腔镜外科杂志,2012,17(11):818-820,3.

腹腔镜外科杂志

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