Chen Jian, Zheng Hongmei, He Jialin
1 Department of Head and Neck Surgery, Hubei Cancer Hospital , Wuhan, Hubei, China .
J Laparoendosc Adv Surg Tech A. 2015 Mar;25(3):238-42. doi: 10.1089/lap.2014.0653. Epub 2015 Feb 6.
The detection rate of differentiated thyroid cancers, especially the papillary subtype, is rapidly increasing, and these malignancies have an excellent prognosis. Surgery remains the cornerstone of treatment, and numerous innovations in surgical techniques have been made in the past decade. Laparoscopic thyroidectomy is being gradually recognized as a safe and effective surgical procedure with good cosmetic results. Revision thyroidectomy is routinely performed via the open approach and rarely via laparoscopy. Three-dimensional laparoscopy offers advantages over two-dimensional laparoscopy in terms of visualization of the operative field and surgical manipulation and has been used at multiple surgical sites, but is rarely used in thyroid surgery. We present the first case of three-dimensional laparoscopic revision thyroidectomy, which was successfully performed through an anterior chest approach in a young, unmarried woman who was pathologically confirmed to have papillary thyroid cancer after an initial laparoscopic partial thyroidectomy performed 10 days prior to the revision surgery.
分化型甲状腺癌，尤其是乳头状亚型的检出率正在迅速上升，并且这些恶性肿瘤预后良好。手术仍然是治疗的基石，在过去十年中手术技术有了众多创新。腹腔镜甲状腺切除术正逐渐被认为是一种安全有效的手术方法，具有良好的美容效果。再次甲状腺切除术通常通过开放手术进行，很少通过腹腔镜手术进行。三维腹腔镜在手术视野可视化和手术操作方面比二维腹腔镜具有优势，并且已在多个手术部位使用，但在甲状腺手术中很少使用。我们报告首例三维腹腔镜再次甲状腺切除术，该手术通过前胸入路成功完成，患者为一名年轻未婚女性，在再次手术前10天进行了初次腹腔镜甲状腺部分切除术后，病理证实为乳头状甲状腺癌。
