摘要
目的:探讨完全腔镜甲状腺手术及术中烟雾处理技术的临床应用经验。方法:对1 200例结节性甲状腺肿病人实施完全腔镜甲状腺切除术,术中采用镜头躲避烟雾及排除烟雾技术,将取得的结果进行分析。结果:完全腔镜手术成功1 195例,中转常规开放手术5例,平均手术时间为65.5 min,平均镜头清洗次数为15次,暂时性喉返神经损伤2例,术毕伤口早期出血1例,无永久性喉返神经或甲状旁腺功能低下等手术并发症发生。结论:熟悉腔镜甲状腺手术中烟雾的产生情况,掌握腔镜下躲避烟雾及排除烟雾技术,是腔镜甲状腺手术顺利完成的关键之一。
Aim： To introduce complete endoscopic thyroidectomy and the initial clinical experience of applying the technique of smog avoidance during operation.Methods： Smog was evacuated and the scope was continuously adjusted for smog avoidance during complete endoscopic thyroidectomy.Results of 1200 cases of nodular goiter receiving endoscopic thyroidectomy were analyzed.Results： 1195 cases were successfully performed while 5 cases were converted to open surgery.Average operating time is 65.5min.Scope bath was performed at an average of 15 times during each procedure.2 cases experienced temporary recurrent laryngeal nerve（RLN） injury.1 case happened early stage of post-operative bleeding.Permanent RLN injury or post-operative hypoparathyroidism was absent.Conclusion：To perform a successful complete endoscopic thyroidectomy,surgeon should be alert with the situation of smog production during operation and master the technique of scope adjustment and smog evacuation.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
北大核心
2012年第2期180-182,共3页
Journal of Jinan University(Natural Science & Medicine Edition)
基金
广东省医学科研基金项目(A2009363)
