General Surgery Department, Hangzhou First People's Hospital, Huansha Rd 261#, Hangzhou, China.
World J Surg Oncol. 2013 Dec 30;11:315. doi: 10.1186/1477-7819-11-315.
Horner's syndrome is a rare complication after video-assisted thyroidectomy (VAT). We present two cases of thyroid microcarcinoma who presented with Horner's syndrome on day 2 after surgery. Ultrasonography showed no hematoma or fluid collection in the surgical field. For the first case, the symptoms were much relieved 4 months later. However, the right pupil remained smaller. For the second case, the symptoms were relieved 3 days later. The symptoms were caused by local trauma to the sympathetic chain and likely occurred during retraction of the carotid sheath. Surgeons should be aware of the possibility of Horner's syndrome after VAT.
霍纳氏综合征是甲状腺手术后的一种罕见并发症。我们报告了两例甲状腺微小癌患者，他们在手术后第 2 天出现霍纳氏综合征。超声检查显示手术部位无血肿或积液。对于第 1 例，4 个月后症状明显缓解。然而，右眼瞳孔仍然较小。对于第 2 例，3 天后症状缓解。症状是由交感链的局部创伤引起的，可能发生在颈动脉鞘牵拉时。外科医生应该意识到 VAT 后发生霍纳氏综合征的可能性。
