口腔前庭入路腔镜甲状腺切除术5例体会

发布时间：2018-05-17 03:29

本文选题：甲状腺结节 + 腔镜甲状腺切除术　；参考：《中国微创外科杂志》2017年03期

【摘要】：目的初步探讨口腔前庭入路腔镜甲状腺切除术的可行性及安全性。方法回顾性分析2013年10月~2014年12月我院5例口腔前庭入路腔镜甲状腺部分切除术的甲状腺结节患者资料。均为单发良性结节,直径1.6~2.8 cm,中位数2.4 cm。结果手术均顺利完成,无中转开放手术。手术时间65~155 min,中位数110 min;术中出血量10~30 ml,中位数20 ml;术后住院时间3~5 d,中位数4 d。术后无声嘶、呛咳,无呼吸困难、窒息、抽搐等并发症。1例张嘴疼痛,术后3天缓解。均随访6个月,恢复良好,无特殊不适。结论选择合适的病例,口腔前庭入路腔镜甲状腺切除术安全有效,美容效果好。
[Abstract]:Objective to explore the feasibility and safety of endoscopic thyroidectomy via oral vestibular approach. Methods from October 2013 to December 2014, 5 patients with thyroid nodules underwent endoscopic thyroidectomy via oral vestibular approach in our hospital were retrospectively analyzed. All were single benign nodules with a diameter of 1.6 ~ 2.8 cm and a median of 2.4 cm. Results all the operations were successfully completed, and there was no transfer to open surgery. The operative time was 65 ~ 155 min (median 110 min), intraoperative bleeding was 1030 ml (median 20 ml) and postoperative hospitalization time was 3 ~ 5 d (median 4 d). There was no hoarseness, cough, dyspnea, asphyxia, convulsion and other complications. All patients were followed up for 6 months and recovered well without special discomfort. Conclusion Endoscopic thyroidectomy via oral vestibular approach is safe and effective.
【作者单位】：中山大学附属东华医院普外科;
【基金】：国家卫生计生委医药卫生科技发展研究中心课题(W2015RQ10)
【分类号】：R653

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