The experience in laparoscopic thyroidectomy
10.3760/cma.j.issn.1007-631X.2009.12.005
- VernacularTitle:内镜甲状腺切除术
- Author:
Yiping LU
;
Nengwei ZHANG
;
Yao LU
;
Changhai LI
;
Kai LI
;
Tongsheng WANG
;
Chen LIU
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Thyroid diseases;
Postoperative complications
- From:
Chinese Journal of General Surgery
2009;24(12):969-972
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the operative difficulties and management in laparoscopic thyroidectomy.Method The clinical data of 169 cases undergoing laparoscopic thyroidectomy were retrospectively analyzed.Result Among 169 cases,only 2 cases were switched to open surgery.Among the other 167 cases local thyroidectomy for thyroid adenoma Was performed in 37 cases,one side subtotal thyroidectomy in 63 cases,two side subtotal thyroidectomy in 42 cases,laparoscopic subtotal thyroideetomy was done in 20 cases for Grave's disease,and radical thyroidectomy was undeRaken in 5 cases of thyroid carcinoma.Postoperatively fat colliquation occurred in 2 cases,pneumohypoderma,skin bruise and temporary vocal dullness or hoarsness in 1 each case.There was no postoperative recurrent laryngeal nerve injury,nor that of the parathyroid gland. Conclusions Laparoscopie thyroidectomy has its own intraoperative difficulties. Accurate operative skills and careful perioperative management can decrease the occurrence of complications.
