Experience on the prevention and treatment of endoscopic thyroidectomy complications

VernacularTitle:腔镜下甲状腺手术并发症的防治体会
Author: Yong LIU ; Bo WANG ; Youbing GAO
Publication Type:Journal Article
Keywords: Thyroid; Endoscope; Thyroidectomy; Complications
From: Clinical Medicine of China 2012;28(9):988-990
CountryChina
Language:Chinese
Abstract: Objective To understand the characteristics of complications occurred after endoscopic thyroidectomy and its prevention and treatment.Methods Retrospective analysis on the clinical effects and complications of 105 cases of endoscopic thyroidectomy.ResultsThe average operative time was 85 minutes in the 105 cases.Five cases were transferred to open operation because of bleeding and 11 cases transferred for the intraoperative pathology of papillary carcinoma.After operation,subcutaneous ecchymosis occurred in 5 patients,subcutaneous emphysema in 10 cases,neck and anterior chest skin tautness and discomfort in 7 cases,parathyroid injury in 2 cases.No superior laryngeal nerve or recurrent laryngeal nerve injury was found in the 105 cases.ConclusionUnder strict control on operation indications,proficient and meticulous endoscope operative skills,familiarization with the anatomical structure of thyroid,and timely and proper treatment on postoperative complications can reduce and prevent the occurrence of complications.