CAJ | 학술논문

目的探讨免注气经胸前腔镜甲状腺切除术的可行性、安全性和优越性.方法免用CO2气体经胸前途径,在腔镜下行单侧或双侧甲状腺局部或次全切除术.结果全部82例均完整切除包括肿块的部分甲状腺或单侧全甲状腺,无中转开放手术,平均手术时间为(1.80±0.41)h,平均术后住院时间为2 d.所有病例均未发生喉上、喉返神经损伤及大出血等手术并发症.结论免注气经胸前腔镜甲状腺切除术安全可行,避免了因进入CO2气体造成的相关并发症.
목적 탐토면주기경흉전강경갑상선절제술적가행성、안전성화우월성.방법 면용CO2기체경흉전도경,재강경하행단측혹쌍측갑상선국부혹차전절제술.결과 전부82례균완정절제포괄종괴적부분갑상선혹단측전갑상선,무중전개방수술,평균수술시간위(1.80±0.41)h,평균술후주원시간위2 d.소유병례균미발생후상、후반신경손상급대출혈등수술병발증.결론 면주기경흉전강경갑상선절제술안전가행,피면료인진입CO2기체조성적상관병발증.
Objective To explore the value,safty and feasibility of laparoscopic thyroidectomy via anterior chest wall approach with no gas.Methods All cases were performed local or subtotal laparoscopic thy midectomy with hook electrode via anterior chest wall approach.Results A total of 82 cases were performed subtotal or total laparoscopic thyroidectomy with hook electrode via anterior chest wall approach successfully.The average operating time was(1.80±0.41)h and staying at hospital 2 d after post-operation averagely.Conclusion Laparoscopie thyroidectomy via anterior chest wall approach with hook electrode,no gas is a safe,leasible approach.