经口底入路腔镜与开放甲状腺切除术治疗良性甲状腺结节性疾病的临床研究

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (38 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of transoral and conventional open thyroidectomy to treat benign thyroid disease.Methods 62 patients with benign thyroid disease in our hospital from November 2013 to August 2015 were selected and were divided into the observation group and the control group by the patients willing.The observation group was included 25 patients and were received thrnsoral access for thyroidectomy,the control group was included 37 patients and had conventional open thyroidectomy.The operation time,postoperative drainage,hospital stay time,postoperative complications and cosmetic satisfactory were compared.Results 25 patients were successfully completed transoral thyroidectomy,without any perioperative complications.The intraoperative blood loss of observation group was(25±5)ml and hospitalization time was(4.4±0.6)days;the intraoperative blood loss of control group was(35±5)ml and hospitalization time was(6.6±0.7)days,with siginifiant difference（P＜0.05）,the operation time,the first day drainage after operation, the rate of postoperative recurrence and the feeling about pharyngeal swallowing after 6 months were no siginifiant differences(P＞0.05).Conclusion Transoral thyroidectomy can be perfomed in patients with begnign thyroid lesions with cosmetic incision,recoveryfaster,safe and reliable compared to convential open thyroidectomy.

Key words： Thyroidectomy Transoralaccess Endoscope

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Xiao-ying
	HAN Hong-bin
	CHEN Qiang
	SUN Hong-ge
	WANG Yu-xiang
	YAN Dang

Cite this article:

CHEN Xiao-ying,HAN Hong-bin,CHEN Qiang, et al. The clinical research of transoral and open thyroidectomy for innocent thyroid nodule disease[J]. 中国当代医药, 2017, 24(5): 34-36.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I5/34

[1]	吴国洋，傅锦波.经口入路腔镜下甲状腺切除手术技术要点[J].临床外科杂志，2015，23（7）：497-499.
[2]	Huscher CS，Chiodini S，Naolitano C，et al.Endoscopic right thyroid lobectomy[J].Surg Endosc，1997，11（8）：877.
[5]	Miccoli P，Berti P，Raffaelli M，et al.Minimally invasive video-assisted thyroidectomy[J].Am J Surg，2001，181（6）：567-570.
[3]	Wilhelm T，Metzig A.Endoscopic minimally invasive thyroidectomy（eMIT）：a prospective proof-of-concept study in humans[J].World J Surg，2011，35（3）：543-551.
[4]	Benhidjeb T，Wilhelm T，Harlaar J，et al.Natural orifice surgery on thyroid gland：totallytransoral video-assisted thyroidectomy（TOVAT）：report of first experimental results of a new surgical method[J].Surg Endosc，2009，23（5）：1119-1120.
[6]	崔冬金，王芬，林巧.129例腔镜下甲状腺切除术后并发症的观察和护理[J].中国医学创新，2013，10（35）：140-143.
[7]	Karakas E，Steinfeldt T，Gockel A，et al.Transoral thyroid and parathyroid surgery-development of a new transoraltechnique[J].Surgery，2011，150（1）：108-115.
[8]	Jeryong K，Jinsun L，Hyegyong K.Total endoscopic thyroidectomy with bilateral breast areola nadipsilateral axillary（BBIA）approach[J].World J Surg，2008，32（11）：2488-2993.
[9]	Karakas E，Steinfeldt T，Gockel A，et al.Transoral thyroid and parathyroid surgery[J].Surg Endosc，2010，24（2）：1261-1267.
[10]	Richmon JD，Pattani KM，Benhidjeb T，et al.Transoraltobotic assisted thyroidectomy：a preclinical feasibility study in 2 cadavers[J].Head Neack，2011，33（3）：330-333.
[11]	王存川，崔贺宁，刘卫军，等.经口腔前庭腔镜甲状腺切除术6例经验[J].中国内镜杂志，2013，19（4）：363-366.
[12]	Nakajo A，Arima H，Hirata M，et al.Trans-Oral video-assisted neck surgery.a new transoral technique of endoscopic thyroidectomy with gasless premandible approach[J].Surg Endosc，2013，27（4）：1105-1110.
[13]	袁雁，章波，冯联忠.全腔镜甲状腺手术意外出血原因分析及对策[J].现代实用医学，2015，27（4）：463-464.
[14]	Shimizu K.Minimally invasive thyroid surgery[J].Best Pract Res Clin Endocrinol Metab，2001，15（2）：123-137.
[15]	Takami H，Ikeda Y.Total endoscopic thyroidectomy[J].Asian J Surg，2003，26（2）：82-85.
[16]	王清宇，张生来，全志伟，等.经口腔径路腔镜甲状腺手术[J].中国实用外科杂志，2011，31（5）：459-461.