Duncan Titus D, Rashid Qammar N, Speights Fredne
Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia, USA.
Surg Laparosc Endosc Percutan Tech. 2008 Oct;18(5):530-5. doi: 10.1097/SLE.0b013e31817fd99f.
Minimal access surgery for thyroid and parathyroid disease has gained increasing popularity due to excellent endoscopic visualization and overall cosmetic outcome. Most current techniques limit the size of the gland that can be removed to less than 4 cm. Patients with multinodular goiter with gland size greater than 4 cm commonly present for surgical therapy. We evaluated the use of an endoscopic transaxillary approach for the treatment of large multinodular goiters. We herein present a case report of 3 consecutive patients undergoing this technique for benign multinodular goiter disease.
Three consecutive patients with large multinodular goiter (>6 cm) were treated using a transaxillary endoscopic approach.
All patients had successful endoscopic thyroidectomy using a transaxillary endoscopic approach. There were no recurrent nerve injuries. One patient had transient hypoparathyroidism that subsequently resolved after surgery.
Transaxillary endoscopic thyroidectomy may be a viable option to open cervical thyroidectomy in the treatment of patients with large multinodular goiter. We herein present a case report of 3 consecutive patients undergoing this technique for benign multinodular goiter disease.
由于出色的内镜可视化效果和整体美容效果，甲状腺和甲状旁腺疾病的微创外科手术越来越受欢迎。目前大多数技术将可切除腺体的大小限制在4厘米以下。腺体大小超过4厘米的多结节性甲状腺肿患者通常需要接受手术治疗。我们评估了内镜经腋窝入路治疗巨大多结节性甲状腺肿的应用。在此，我们报告3例连续接受该技术治疗良性多结节性甲状腺肿疾病的病例。
3例连续的巨大多结节性甲状腺肿（>6厘米）患者采用经腋窝内镜入路进行治疗。
所有患者均通过经腋窝内镜入路成功进行了内镜甲状腺切除术。无喉返神经损伤。1例患者出现短暂性甲状旁腺功能减退，术后随后恢复。
经腋窝内镜甲状腺切除术在治疗巨大多结节性甲状腺肿患者时可能是开放性颈部甲状腺切除术的一个可行选择。在此，我们报告3例连续接受该技术治疗良性多结节性甲状腺肿疾病的病例。
