经胸乳入路腔镜甲状腺切除术的临床研究
马富平 王长田 安东均 张成 晁延军 陆爱国
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腔镜甲状腺肿瘤切除术5例，其中甲状腺腺瘤3例，结节性甲状腺肿2例。
结果：5例均成功完成手术，3例行单侧甲状腺肿瘤切除术，2例行甲状腺腺叶大部切除术。手术时间90～160min，平均110.5min，无神经及甲状旁腺损伤及中转开放手术，1例出现皮肤瘀斑。术后住院5～7d，平均6.1d。患者对手术的美容效果满意。
结论：腔镜甲状腺手术是一种安全、理想的术式，具有很好的美容效果。
关键词
甲状腺肿瘤；甲状腺切除术；腹腔镜术
Clinical study of endoscopic thyroidectomy via breast-thoracic approach
MA Fuping，WANG Changtian，AN Dongjun，et al.
ABSTRACT
Objective:To explore the factors influencing the success of endoscopicthyroidectomy.
Methods:Endoscopic thyroidectomy via breast areola approach was performed in5 cases，including 3 cases of thyroid adenoma and 2 cases of nodular goiter.
Results:All 5 cases were successfully operated，3 cases underwent unilateral thyroidectomy and 2 cases underwent subtotal thyroidectomy.The operation time ranged from 90 to 160 minutes，with an average of 110.5 minutes.There was no nerve or parathyroid injury and conversion to open surgery.Skin ecchymosis occurred in 1 case.Postoperative hospitalization lasted for 5 to 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 operation with good cosmetic effect.
KEY WORDS
Thyroidneoplasms；Thyroidectomy；Laparoscopy
1996年Gagner［1］开展了首例腔镜甲状腺手术，此后因其具有良好的美容及微创效果而深受患者青睐，2007年11月～2008年11月我院为5例患者施行了经胸乳入路的腔镜甲状腺手术，效果满意，现报道如下。