CAJ | 학술논문

目的探索腔镜下甲状腺切除手术更加美容微创的手术入路.方法回顾分析经双乳晕腋窝入路腔镜下甲状腺手术50例,行单侧甲状腺腺叶部分切除12例,一侧腺叶全部切除30例,双侧腺叶部分切除8例.结果全组均顺利完成手术.术中出血量为(12.77±20.12)ml,手术时间(67.00±21.28) min,术后住院天数为(3.77 ±0.50)d.术后2例声音嘶哑,随访50例,随访时间为1～6个月,无其他术后并发症.结论采用双乳晕腋窝入路腔镜下甲状腺切除手术具有更加美容、微创的优点,但其手术视角需有一个适应过程.
목적 탐색강경하갑상선절제수술경가미용미창적수술입로.방법 회고분석경쌍유훈액와입로강경하갑상선수술50례,행단측갑상선선협부분절제12례,일측선협전부절제30례,쌍측선협부분절제8례.결과 전조균순리완성수술.술중출혈량위(12.77±20.12)ml,수술시간(67.00±21.28) min,술후주원천수위(3.77 ±0.50)d.술후2례성음시아,수방50례,수방시간위1～6개월,무기타술후병발증.결론 채용쌍유훈액와입로강경하갑상선절제수술구유경가미용、미창적우점,단기수술시각수유일개괄응과정.
Objective To discuss the more aesthetic and minimally invasive surgical approach of endoscopic thyroidectomy.Methods 50 cases of endoscopic thyroidectomy via breast areola-axillary approach were retrospectively analyzed.Among these cases,12 received unilateral partial lobectomy,30 received unilateral total lobectomy and 8 received bilateral partial lobectomy.Results Endoscopic thyroidectomy was completed in all the patients.The intraoperative blood loss was ( 12.77 ± 20.12 ) ml.The operation time was (67.00 ± 21.28 )min.The postoperative hospital stay was (3.77 ± 0.50)days.Hoarseness occurred in 2 cases.All the 50 cases were followed up from 1 to 6 months and no other complication occurred.Conclusion Endoscopic thyroidectomy via breast areola-axillary approach is more aesthetic and minimally invasive; however,the operator needs an adaptive process for a better surgical view angle.