外科器械及能量平台

(三)外科器械及能量平台

甲状腺手术术区血管丰富,解剖结构致密,要求术中必须做到有效止血,因此能量外科器械的应用,让甲状腺外科医生工作更具高效性,一定程度上提高了手术安全性。甲状腺外科中最常见的能量外科应用为电能量和超声能量。电能量器械包括单极和双极电刀。超声能量器械主要指超声刀。其对周围组织损伤范围小于电刀,在工作时极少产生烟雾、焦痂,而且无电火花,也不会对机体产生电生理干扰,使手术更安全,减少了并发症的发生。

参考文献

[1] Haugen B R, Alexander E K, Bible K C, et al.The American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer[J].Thyroid, 2016,26(1):1-133.

[2] Zanocco K A, Hershman J M, Leung A M.Active Surveillance of Low-Risk Thyroid Cancer.JAMA, 2019, 28;321(20):2020-2021.

[3] 腾卫平,刘永峰,高明等.甲状腺结节与分化型甲状腺癌诊治指南(2012版)[J].中国肿瘤临床,2012,39(17):1249-1272.

[4] Matsuzu K, Sugino K, Masudo K, et al.Thyroid lobectomy for papillary thyroid cancer: long-term follow-up study of 1 088 cases[J].World J Surg, 2014,38:68-79.

[5] Barney B M, Hitchcock Y J, Sharma P, et al.Overall and cause-specific survival for patients undergoing lobectomy,near-total, or total thyroidectomy for differentiated thyroid cancer[J].Head Neck, 2011,33:645-649.

[6] Nixon I J, Ganly I, Patel S G, et al.Thyroid lobectomy for treatment of well differentiated intrathyroid malignancy[J].Surgery , 2012,151:571-579.

[7] Adam M A, Pura J, Gu L, et al.Extent of surgery for papillary thyroid cancer is not associated with survival: an analysis of 61 775 patients[J].Ann Surg, 2014, 260:601-605.(https://www.daowen.com)

[8] Ahn J E, Lee J H, Yi J S, et al.Diagnostic accuracy of CT and ultrasonography for evaluating metastatic cervical lymph nodes in patients with thyroid cancer[J].World J Surg ,2008,32:1552-1558.

[9] Yeh M W, Bauer A J, Bernet V A, et al.American thyroid association statement on preoperative imaging for thyroid cancer surgery.Thyroid , 2015, 25:3-14.

[10] Hwang H S, Orloff L A .Efficacy of preoperative neck ultrasound in the detection of cervical lymph node metastasis from thyroid cancer[J].Laryngoscope, 2011,121:487-491.

[11] Robbins KT, Shaha AR, Medina JE, et al.Consensus statement on the classification and terminology of neck dissection.Arch Otolaryngol Head Neck Surg,2008,134:536-538.

[12] 高明,葛明华,嵇庆海,等.甲状腺微小乳头状癌诊断与治疗中国专家共识(2016版).中国肿瘤临床,2016(10):405-411.

[13] Mizuno K, Takeuchi M, Kanazawa Y, et al.Recurrent laryngeal nerve paralysis after thyroid cancer surgery and intraoperative nerve monitoring.Laryngoscope[J].2019 Aug;129(8):1954-1960.

[14] Orloff L A, Wiseman S M, Bernet V J, et al.American Thyroid Association Statement on Postoperative Hypoparathyroidism: Diagnosis, Prevention, and Management in Adults[J].Thyroid, 2018 Jul;28(7):830-841.

[15] 中国医师协会外科医师分会甲状腺外科医师委员会.甲状腺及甲状旁腺术中喉上神经外支保护与监测专家共识(2017版)[J].中国实用外科杂志,2017,37(11):1243-1249.