Wang Cun-Chuan, Chen Jun, Hu You-Zhu, Wu Dong-Bo, Xu Yi-Hao
Department of Laparoscopic Surgery, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
Zhonghua Wai Ke Za Zhi. 2004 Jun 7;42(11):675-7.
To discuss the method, the advantages and disadvantages of endoscopic thyroidectomy.
Endoscopic thyroidectomy via areola of breasts approach was performed in 150 patients, including 41 cases of thyroid adenoma, 64 cases of nodular goiter, 40 cases of Graves' disease, and 5 cases of thyroid carcinoma.
The endoscopic thyroidectomy was successfully carried out in 144 cases, including tumor dissection in 32 cases, one lobe partial thyroidectomy in 54 cases, two lobe partial thyroidectomy in 19 cases, subtotal thyroidectomy in 37 cases of Graves' disease, and radical thyroidectomy in 2 cases of thyroid carcinoma. The operative time length ranged from 50 to 270 min (mean 80 min). There were no complications such as damage to recurrent laryngeal nerve or parathyroid glands. Postoperative hospital stay ranged from 3 to 7 days (mean 4 days). The post-operative following-up for 1 approximately 13 months indicated that all the patients were satisfied with the cosmetic results and the same curative effects as conventional surgery were obtained. However, the operations were converted into open surgery in 6 cases.
Endoscopic thyroidectomy is a safe and effective method of thyroid surgery. Since all the minimal incisions are on concealed parts of the body, the obvious cosmetic effect of this method is guaranteed.
探讨内镜甲状腺切除术的方法及优缺点。
对150例患者行乳晕入路内镜甲状腺切除术，其中甲状腺腺瘤41例，结节性甲状腺肿64例，Graves病40例，甲状腺癌5例。
144例手术成功完成，其中肿瘤切除32例，一侧叶部分切除54例，两侧叶部分切除19例，Graves病行次全切除37例，甲状腺癌行根治性切除2例。手术时间为50～270分钟（平均80分钟）。无喉返神经或甲状旁腺损伤等并发症。术后住院时间为3～7天（平均4天）。术后随访1～13个月，所有患者对美容效果满意，获得与传统手术相同的疗效。然而，有6例手术中转开腹。
内镜甲状腺切除术是一种安全有效的甲状腺手术方法。由于所有微小切口均位于身体隐蔽部位，该方法具有明显的美容效果。
