Yamashita H, Watanabe S, Koga Y, Masatsugu T, Uchino S, Noguchi S
Noguchi Thyroid Clinic and Hospital Foundation, 6-33 Noguchi-Nakamachi, Beppu, Oita 874-0932, Japan.
Biomed Pharmacother. 2002;56 Suppl 1:64s-67s. doi: 10.1016/s0753-3322(02)00224-x.
Several procedures have been proposed for surgical treatment of the thyroid nodule; they have not gained wide acceptance, however, because of the expertise required, the relatively long operation times, the wide dissection needed to create a working space, and the extra cost of specialized instruments, especially when port sites are created in the remote area. These barriers have led some surgeons to perform video-assisted thyroidectomy via the neck. We describe the indications for, procedures related to, and results of both total endoscopic thyroidectomy and video-assisted thyroidectomy via the neck. Excellent cosmetic results were obtained by both procedures; however, video-assisted procedures required less time and a smaller dissection area.
已经提出了几种用于甲状腺结节手术治疗的方法；然而，由于所需的专业知识、相对较长的手术时间、为创造操作空间所需的广泛解剖以及专用器械的额外成本，特别是当在偏远区域创建端口部位时，这些方法尚未得到广泛认可。这些障碍导致一些外科医生通过颈部进行视频辅助甲状腺切除术。我们描述了全内镜甲状腺切除术和通过颈部进行的视频辅助甲状腺切除术的适应症、相关操作及结果。两种手术均获得了出色的美容效果；然而，视频辅助手术所需时间更短，解剖区域更小。
