Takami Hiroshi, Ikeda Yoshifumi
Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
ANZ J Surg. 2002 Nov;72(11):841-2. doi: 10.1046/j.1445-2197.2002.02559.x.
Conventional thyroidectomies by a direct approach through the neck require long incisions in the neck that can result in prominent scars, hypesthesia, and paresthesia. Minimally invasive procedures have recently been adopted for the surgical treatment of thyroid disease as a means of preventing such problems.
In the present paper, the anterior chest approach and axillary approach to endoscopic thyroidectomy are described.
Twenty-two patients were treated by the anterior chest approach to endoscopic thyroidectomy and 28 patients by the axillary approach. The only complication was one case of postoperative emphysema. The patients were satisfied with the cosmetic results of the procedures and with the minimal degree of postoperative hypesthesia, paresthesia and discomfort.
Endoscopic thyroidectomy may become the procedure of choice for the surgical treatment of carefully selected patients with thyroid disease.
传统的经颈部直接入路甲状腺切除术需要在颈部做长切口，这可能导致明显的瘢痕、感觉减退和感觉异常。近年来，微创技术已被应用于甲状腺疾病的外科治疗，以预防此类问题。
本文描述了内镜甲状腺切除术的前胸入路和腋窝入路。
22例患者采用内镜甲状腺切除术前胸入路治疗，28例患者采用腋窝入路治疗。唯一的并发症是1例术后气肿。患者对手术的美容效果以及术后最小程度的感觉减退、感觉异常和不适感到满意。
内镜甲状腺切除术可能成为精心挑选的甲状腺疾病患者外科治疗的首选术式。
