完全腔镜下甲状腺癌颈淋巴结清扫手术技巧

发布时间：2018-04-27 11:38

本文选题：甲状腺癌 + 腔镜甲状腺手术　；参考：《中国实用外科杂志》2017年09期

【摘要】：甲状腺癌是头颈部最常见的恶性肿瘤。近年来,甲状腺癌的发病率呈逐年上升趋势。腔镜甲状腺手术在近20年得到了迅速发展。腔镜下淋巴结清扫作为甲状腺癌根治术的重要组成,要求术者有丰富的开放手术经验及娴熟的腔镜技巧。熟练掌握超声刀的应用技巧,熟悉清扫范围的解剖关系,对于避免神经、甲状旁腺等结构损伤具有重要作用。术中神经监测(IONM)、纳米碳甲状旁腺负显影技术等新器械、新技术的应用使腔镜下操作越来越安全可靠。
[Abstract]:Thyroid cancer is the most common malignant tumor in the head and neck. In recent years, the incidence of thyroid cancer is increasing year by year. Endoscopic thyroid surgery has developed rapidly in the last 20 years. As an important component of radical thyroidectomy, endoscopic lymph node dissection requires extensive open operation experience and skilled endoscopic skills. Mastering the application skill of ultrasonic knife and familiar with the anatomical relation of dissection range are important to avoid the damage of nerve parathyroid gland and other structures. New instruments such as intraoperative nerve monitoring, nano-carbon parathyroid negative imaging and so on, have made the operation more and more safe and reliable under endoscopy.
【作者单位】：浙江大学医学院附属第二医院甲状腺外科;
【分类号】：R736.1

【相似文献】