Chest Wall Approach Endoscopic Total Thyroidectomy：a Report of 20 Cases
10.3969/j.issn.1009-6604.2014.08.020
- VernacularTitle:经胸壁入路腔镜下甲状腺全切除术20例报告
- Author:
Xin ZHOU
;
Siyu ZHANG
;
Guoqiang SU
- Publication Type:Journal Article
- Keywords:
Endoscopy;
Total thyroidectomy;
Nodular goiter
- From:Chinese Journal of Minimally Invasive Surgery
2014;(8):735-737
- CountryChina
- Language:Chinese
-
Abstract:
Objective-To-explore-the-feasibility-and-safety-of-endoscopic-total-thyroidectomy-via-chest-wall-approach-.-Methods-Endoscopic-total-thyroidectomy-via-chest-wall-approach-was-performed-in-20-patients-with-nodular-goiter-from-January-2008-to-December-2012.Subcutaneous-operative-space-was-created-through-an-unilateral-areola-incision-,-through-which-laparoscope-and-surgical-instruments-were-introduced-.The-neck-suture-suspension-technique-was-used-to-reveal-the-thyroid-gland-.By-using-an-ultrasonic-scalpel-,-the-thyroid-was-separated-and-removed-completely-.-Results-All-the-operations-were-successfully-completed-without-conversions-to-open-surgery-.The-operation-time-was-90-180-min-(mean,-120-min).The-blood-loss-was-15-40-ml-(mean,-20-ml).The-postoperative-hospital-stay-ranged-from-4-to-7-days-(mean,-5.8-days).There-was-1-case-of-temporary-hoarseness.No-severe-hemorrhage-,-wound-infection-,-or-subcutaneous-effusion-was-found-.-Conclusion-Endoscopic-total-thyroidectomy-via-chest-wall-approach-is-a-safe-and-feasible-procedure-.
