Department of Otolaryngology-Head & Neck Surgery, Affiliated Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Chin Med J (Engl). 2011 May;124(10):1449-52.
Recently, there has been a surge of interest in minimally invasive techniques with endoscope in thyroid surgery. The aim of this study was to investigate the possibility of a scarless neck surgery under endoscopy for the treatment of thyroid tumor and to observe the results of this procedure.
A total of 68 patients (64 women and 4 men) underwent the surgery. Their ages ranged from 18 to 65 years, with a mean age of (34 ± 3) years. There were 64 cases of thyroid adenoma, and 4 cases of nodular goiter. An incision was made on the surface of the chest bone. The operation cavity was made by dragging the skin. Sixty-four patients underwent partial thyroid lobectomy, four patients underwent thyroid lobectomy.
All 68 cases showed healing in one stage. None of the cases showed paralysis of the recurrent laryngeal nerve or tumor recurrence within the next 2 to 60 months of follow-up. The patients experienced slight pain after the operation. The patients were satisfied with the cosmetic results of the surgery.
The gasless endoscopic surgery through the upper chest, which was performed to treat thyroid tumor, did not leave any scar, and was easy to handle, and gave good cosmetic results.
近年来，内窥镜辅助下的甲状腺微创手术受到广泛关注。本研究旨在探讨内镜辅助下经胸部无气腔甲状腺肿瘤切除术的可行性，并观察该术式的疗效。
共 68 例患者（64 例女性，4 例男性）接受了手术。年龄 18~65 岁，平均年龄（34±3）岁。其中甲状腺腺瘤 64 例，结节性甲状腺肿 4 例。于胸骨表面做切口，通过牵拉皮肤形成手术腔。64 例行甲状腺腺叶部分切除术，4 例行甲状腺叶切除术。
68 例患者均Ⅰ期愈合，术后 2~60 个月随访无喉返神经麻痹及肿瘤复发。术后患者诉轻微疼痛，对手术美容效果均满意。
经胸部无气腔内镜手术治疗甲状腺肿瘤，无颈部瘢痕，操作方便，美容效果良好。
