CAJ | 학술논문

目的探讨腔镜下经胸乳入路甲状腺切除术的疗效及体会。方法经胸乳入路行腔镜甲状腺切除术62例，其中甲状腺腺瘤16例，结节性甲状腺肿43例，甲状腺癌3例。结果手术均获成功，2例出现皮下气肿，1例出现皮肤直径0.5 cm的轻度灼伤；1例术后一过性声音嘶哑，1例穿刺道出血。无高碳酸血症发生，无喉返神经损伤及甲状旁腺损伤，无中转开放手术。结论腔镜下经胸乳入路甲状腺切除术安全、有效、美容效果好。
목적탐토강경하경흉유입로갑상선절제술적료효급체회。방법경흉유입로행강경갑상선절제술62례，기중갑상선선류16례，결절성갑상선종43례，갑상선암3례。결과수술균획성공，2례출현피하기종，1례출현피부직경0.5 cm적경도작상；1례술후일과성성음시아，1례천자도출혈。무고탄산혈증발생，무후반신경손상급갑상방선손상，무중전개방수술。결론강경하경흉유입로갑상선절제술안전、유효、미용효과호。
Objective To study the therapeutic effect and feasibility of endoscopic thyroidectomy via breast areola approach. Method Endoscopic thyroidectomy via breast areola approach was performed in 62 patients, including 16 cases of adenoma, 43 cases of nodular goiter, and 3 cases of thyroid carcinoma.Results Endoscopic thyroidectomy was succeeded in 62 patients, 2 cases of cutaneous emphysema, 1 case of light skin bum which diameter was 0.5 cm, 1 case of transient hoarse voice,and 1 case of puncture sinus tract bleeding. There was no converted to open surgery,no hypercapnia, no damage of recurrent laryngeal nerve or parathyriod glands. Conclusion Endoscopic thyroidectomy via breast areola approach is safe and effective,and has good cosmetic results.