摘要
目的探讨侧方入路小切口甲状腺切除术的可行性和手术技巧。方法 2009年5月～2011年10月,对30例单侧甲状腺肿物行胸锁乳突肌内缘肿物表面横行小切口(长2～2.5 cm),经胸锁乳突肌前缘切开带状肌,于甲状腺前外侧开始解剖,完成侧方入路小切口甲状腺切除术。结果 30例手术均顺利完成,甲状腺腺叶切除16例,单侧甲状腺次全切除术14例。切口长2～3 cm,平均2.5 cm,平均手术时间53 min(45～65 min),术中出血量均<10 ml。术后均未出现并发症,患者术后伤口疼痛程度和吞咽不适感均较轻。30例平均随访13个月(1～22个月),切口美观,无复发。结论侧方入路小切口甲状腺切除术可行,美容效果好。
Objective To access the feasibility and surgical techniques of small-incision thyroidectomy through lateral approach. Methods Totally 30 patients with unilateral thyroid tumor received small-incision thyroidectomy between May 2009 and October 2011 in our hospital via a lateral approach. A 2- to 2.5-cm incision was made over the tumor within the inner edge of the sternocleidomastoid. And then, we cut the strap muscle along the anterior edge of the sternocleidomastoid so that to remove the thyroid via a lateral approach. Results The procedures, including 16 cases of thyroid gland lobectomy and 14 cases of hemithyroidectomy, were completed in all the patients within a mean of 53 min （45 -65 min）. The intraoperative blood loss was less than 10 ml in all the cases. No complications occurred after the surgery. No patients complained of severe incisional pain or swallowing discomfort. The patients were followed up for 1 -22 months （mean, 13 months）, during which no recurrence occurred, the patients were satisfied with the cosmetic results. Conclusion Small-incision thyroidectomy through lateral approach is feasible with good cosmetic outcome.
出处
《中国微创外科杂志》
CSCD
2012年第2期140-142,共3页
Chinese Journal of Minimally Invasive Surgery
