CAJ | 학술논문

目的总结腔镜辅助颈部小切口甲状腺切除术在甲状腺肿瘤中的应用.方法回顾性分析我院自2006年1月至2009年12月行腔镜辅助颈部小切口甲状腺术式53例甲状腺肿瘤的临床资料.结果除5例中转行常规开放手术外,余手术均获成功;术后暂时性喉返神经损伤1例,术后皮下积液3例,切缘皮肤烧伤3例,均未使用镇痛药物;无出血、低血钙等并发症发生;术后随访3～35个月,行甲状腺超声、CT、甲状腺核素扫描检查无复发、转移.结论腔镜辅助颈部小切口甲状腺肿瘤切除术是安全、可行的,美容效果良好,其对甲状腺肿瘤,尤其是甲状腺癌的术后生存率、肿瘤复发率,确切的结论有待长期的、大样本的随访研究.
목적 총결강경보조경부소절구갑상선절제술재갑상선종류중적응용.방법 회고성분석아원자2006년1월지2009년12월행강경보조경부소절구갑상선술식53례갑상선종류적림상자료.결과 제5례중전행상규개방수술외,여수술균획성공;술후잠시성후반신경손상1례,술후피하적액3례,절연피부소상3례,균미사용진통약물;무출혈、저혈개등병발증발생;술후수방3～35개월,행갑상선초성、CT、갑상선핵소소묘검사무복발、전이.결론 강경보조경부소절구갑상선종류절제술시안전、가행적,미용효과량호,기대갑상선종류,우기시갑상선암적술후생존솔、종류복발솔,학절적결론유대장기적、대양본적수방연구.
Objective To explore the efficiency of transcervical video-assisted mini-incision thyroidectomy for thyroid tumor. Methods 53 patients with thyroid tumors who underwent the video-assisted mini-incision thyroidectomy from Jan. 2006 to Dec. 2009 in the Department of Thyroid Surgery, Yantai Yuhuangding Hospital,were retrospectively studied. Results All of the patients, except 5 cases converting to open thyroidectomy, underwent the video-assisted mini-incision thyroidectomy successfully. The temporary recurrent laryngeal nerve injury occurred in 1 patients. The subcutaneous fluid accumulation occurred in 3 patients. The skin burns around the incisions occurred in 3 patients. There was no complication of hematoma, hypocalcemia, or superior laryngeal nerve injuries. The follow-up period was from 3 months to 35 months. There was no evidence of recurrence and metastasis by postoperative ultrasonic and CT scan and radioiodine scintigraphy. Conclusions The video-assisted mini-incision thyroidectomy is feasible, safe, and with the advantage of cosmetic results. For thyroid tumor,especially thyroid cancer, longer follow-up is necessary to draw definitive conclusion on recurrence and survival rate.