经胸乳入路的腹腔镜甲状腺切除术的体会
马富平 安东均 晁延军 张成 董浩
摘 要
目的：探讨影响腔镜甲状腺切除术成功施行的因素。
方法：采用经胸部乳晕入路行腹腔镜甲状腺肿瘤切除术21例，其中甲状腺腺瘤14例，结节性甲状腺肿6例，甲状腺癌1例。
结果：成功完成手术19例，行单侧甲状腺肿瘤切除术14例，甲状腺腺叶大部切除术5例，中转开放手术2例，手术时间90～160min，平均110.5min，无神经及甲状旁腺损伤，出现皮肤瘀斑1例，术后住院时间5～7d，平均6.1d，患者对手术的美容效果满意。
结论：内镜甲状腺手术是一种安全、理想的手术方法，具有很好的美容效果。
关键词
腹腔镜；甲状腺；甲状腺切除术
Experience of laparoscopic thyroidectomy via breast-thoracic approach
ABSTRACT
Objective:To explore the factors influencing the success of endoscopic thyroidectomy.
Methods:Laparoscopic thyroidectomy via breast areola approach was performed in 21 cases，including 14 cases of thyroid adenoma，6 cases of nodular goiter and 1 case of thyroid cancer.
Results:Nineteen cases were successfully operated，14 cases underwent unilateral thyroidectomy，5 cases underwent subtotal thyroidectomy，2 cases were converted to open thyroidectomy.The operation time was 90-160 minutes，with an average of 110.5 minutes.There was no nerve or parathyroid injury，and 1 case had skin ecchymosis.The hospital stay was 5-7 days，with an average of 6.1 days.The patients were satisfied with the cosmetic effect of the operation.
Conclusion:Endoscopic thyroidectomy is a safe and ideal surgical method with good cosmetic effect.
KEY WORDS
thyroidectomy；thyroid；endoscopy
自1996年Gagner［1］开展首例腔镜甲状腺手术后，腔镜甲状腺手术因其美容效果佳而深受患者青睐，我科自2007年11月开展经胸乳入路的腔镜甲状腺手术21例，报告如下。