腔镜辅助下小切口甲状腺切除术119例病例回顾.pdfVIP

·36 · 王子璋，等 腔镜辅助下小切口甲状腺切除术—119例病例回顾 头颈肿瘤 腔镜辅助下小切口甲状腺切除术—119例病例回顾 王子璋，冯海波，戚新春，郭晓东，任文艳，刘 芳，梁秦龙 Ｍｉｎｉｍａｌｌｙ ｉｎｖａｓｉｖｅ ｖｉｄｅｏ -ａｓｓｉｓｔｅｄ ｔｈｙｒｏｉｄｅｃｔｏｍｙ ：Ａ ｒｅｐｏｒｔ ｏｆ 119 ｃａｓｅｓ Wang Zizhang，Feng Haibo，Qi Xinchun，uo Xiaodong，Ren Wenyan，Liu Fang，Liang Qinlong Head Neck surgery Department，Cancer Hospital of shaanxiprovince，shaanxiXi′an710061，China. 【Abstract】 Objective：To explore the feasibility and clinical application of minimal invasive video-assisted thy- roidectomy（MIVAT）.Methods：A retrospective study of 119 consecutive patients who underwent MIVAT was con- ducted，tosummarizetheclinicaleffectsandcomplications.Results：MIVATwassuccessfullyperformedinall 119 pa- tients.62 patients underwent lobectomy and 57 patients underwent total thyroidectomy，the mean operation time was （98.5±26.7）min vs（126.7±37.1）minrespectively.Inthefinalpathology report，therewere42 nodular goiter，32 adenomatous goiter，9 follicular adenoma，26 papillary thyroid cancers，6 follicular cancers and4 Hashimoto disease. Transient versus permanent recurrent laryngeal nerve injurywas4 and2 respectively.Postoperativetransient hypocal- cemiawas diagnosed in2 and7 patientsfollowing thyroid lobectomy versus total thyroidectomy，respectively.No per- manent hypocalcemiawasfound.Cosmetic effectswere assessed after 1 and 6 months of follow -up as very good or excellent by 101（84% ）and 112（94% ）patients，respectively.Conclusion：MIVAT was a safe and feasible opera- tion，with good cometic effects and no more complications. 【Key words】video-assisted；minimal invasive；thyroidectomy Modern Oncology2015，23（01）：0036-0039 【摘要】 目的：探讨腔镜辅助下小切口甲状腺切除术（minimally invasive video -assisted thyroidectomy，MI- VAT）的可行性和临床应用 方法：自2012年1月-2013年12 月，回顾性分析119例行MIVAT病人的临床 资料，总结临床效果及并发症情况 结果：119例均手术成功，其中甲状