Yang Yi, Gu Xiaodong, Wang Xiaoxiao, Xiang Jianbin, Chen Zongyou
Department of General surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
ScientificWorldJournal. 2012;2012:456807. doi: 10.1100/2012/456807. Epub 2012 Dec 11.
Endoscopic thyroidectomy is a relatively new approach in treating differentiated thyroid cancer. Since last decades, more and more endoscopic thyroidectomies have been performed. We review the indications and contraindications, methods, and postoperational complications of this surgical procedure. Lots of surgical approaches have been developed in endoscopic thyroidectomy for differentiated thyroid cancer. Compared to conventional thyroidectomy, scarless endoscopic thyroidectomy has a superior cosmetic result. And it also reduces the incidence of hypesthesia, paresthesia, or feelings of self-consciousness. However, the outcome depends, to a large extent, on the skill of the operator and the learning curve being relatively long. With the development of surgical equipments and skills, operation time and complications will be reduced. Indications of endoscopic thyroidectomy will be widened and it will be more and more performed.
内镜甲状腺切除术是治疗分化型甲状腺癌的一种相对较新的方法。在过去几十年中，越来越多的内镜甲状腺切除术得以开展。我们回顾了该手术的适应证、禁忌证、方法及术后并发症。在内镜甲状腺切除术中，针对分化型甲状腺癌已开发出多种手术入路。与传统甲状腺切除术相比，无痕内镜甲状腺切除术具有更好的美容效果。它还能降低感觉减退、感觉异常或自觉症状的发生率。然而，其结果在很大程度上取决于术者的技术，且学习曲线相对较长。随着手术设备和技术的发展，手术时间和并发症将会减少。内镜甲状腺切除术的适应证将会扩大，并且会得到越来越广泛的应用。
