腹腔镜外科杂志2017，Vol.22Issue(4)：256-261,6.DOI:10.13499/j.cnki.fqjwkzz.2017.04.256
经乳晕入路完全腔镜甲状腺手术的操作技巧与体会
Operating skill and experience on complete endoscopic thyroidectomy through areola
薛会朝 1王雷 1程少华 1白宾 1董良鹏 1秦双1
作者信息
- 1. 新乡医学院第一附属医院,河南新乡,453100
- 折叠
摘要
Abstract
Objective:To discuss the operatiug skill of endoscopic thyroidectomy through areola.Methods:Fifty-nine patients underwent endoscopic thyroidectomy through areola (endoscopic group) and 209 patients underwent open thyroid surgery (open group)from Jan.2016 to Dec.2016 in the first affiliated hospital of Xinxiang medical university.The operation time,blood loss,incidence of postoperative complications such as face subcutaneous emphysema,hoarseness,suffocation,Homer syndrome,drinking choke,mediastinal emphysema,Trocar tunnel infection and infection of surgery area were compared between the two groups.Results:There was no statistical difference in operation time between two groups [(76.58-± 29.12) min vs.(73.21 ± 28.14) min].Blood loss of endoscopic group was statistically less than open group [(20.71 ± 14.32) ml vs.(33.28 ± 12.19) ml].There was no obvious difference in incidence of postoperative complications,including drinking choke,subcutaneous emphysema,red and swollen drainage entrance,hoarseness,peri-oral and extremity numbness.In 7 d after surgery,endoscopic group was better than open group in cosmetic results.Conclusions:Injecting appropriate air to decrease smog and compounding practice of ultrasound knife and dissecting forceps are the key to success in endoscopic thyroidectomy through areola.Complete endoscopic thyroidectomy through areola could be regarded as better scheme for thyroid benign tumor.关键词
甲状腺切除术/内窥镜检查/经乳晕入路/开放手术Key words
Thyroidectomy/Endoscopy/Through areola approach/Open surgery分类
医药卫生引用本文复制引用
薛会朝,王雷,程少华,白宾,董良鹏,秦双..经乳晕入路完全腔镜甲状腺手术的操作技巧与体会[J].腹腔镜外科杂志,2017,22(4):256-261,6.
