Zhang Wei, Jiang Dao-zhen, Liu Sheng, Li Li-jie, Zheng Xiang-min, Shen Hong-liang, Shan Cheng-xiang, Qiu Ming
18F Minimally Invasive Surgical Center of Changzheng Hospital affiliated to Second Military Medical University, Shanghai, China.
Surg Laparosc Endosc Percutan Tech. 2011 Apr;21(2):67-71. doi: 10.1097/SLE.0b013e318213961d.
The first cases of video-assisted thyroidectomy and scarless endoscopic thyroidectomy were reported in China in 2001 and 2002, respectively. Breast approach endoscopic thyroidectomy (BAET) has become the most popular procedure for treating thyroid disease in China. Chinese doctors did not pioneer this approach, but contributed toward improvement in technical details such as incision selection, creation of a working space, suture exposure, and control of intraoperative bleeding. Relatively large series confirmed that BAET is a safe procedure but has a long learning curve that can be overcome with training. Surgical stress was not significantly increased despite the larger subcutaneous dissection. BAET to treat malignancy is feasible, but larger series and longer follow-up are warranted before its widespread acceptance.
2001年和2002年，中国分别报道了首例电视辅助甲状腺切除术和无痕内镜甲状腺切除术。经乳晕入路内镜甲状腺切除术（BAET）已成为中国治疗甲状腺疾病最常用的术式。该术式并非中国医生首创，但中国医生在切口选择、操作空间建立、缝线暴露及术中出血控制等技术细节的改进方面做出了贡献。相对大量的病例系列证实，BAET是一种安全的术式，但学习曲线较长，可通过培训克服。尽管皮下分离范围较大，但手术应激并未显著增加。BAET用于治疗恶性肿瘤是可行的，但在广泛应用之前，还需要更大规模的病例系列和更长时间的随访。
