Clerc Daniel, Zingg Tobias, Givel Jean-Claude, Matter Maurice
Service de chirurgie viscérale, CHUV, 1011 Lausanne.
Rev Med Suisse. 2011 Jan 19;7(278):108-12.
Thyroid and parathyroid surgery takes an important place in general surgery. Preservation of essential cervical structures and cosmetic of outcomes of cervical incisions are major concern. Several minimally invasive strategies have been developed recently but their acceptance in the surgical community is low. Their main advantages are focused tissue dissection and improved cosmetics. In this review, management and surgical indications of thyroid nodules and parathyroid adenomas are discussed. The various minimally invasive techniques are described and their current indications are reviewed.
甲状腺和甲状旁腺手术在普通外科中占据重要地位。保留关键的颈部结构以及颈部切口的美观效果是主要关注点。近年来已开发出多种微创策略，但它们在外科界的接受度较低。其主要优点是聚焦组织解剖和改善美观。在本综述中，将讨论甲状腺结节和甲状旁腺腺瘤的管理及手术指征。描述了各种微创技术并回顾了它们目前的适应证。
