Application of endoscopic thyroidectomy and conventional thyroidectomy by approach without transection anterior cervical muscle group
10.3969/j.issn.1671-8348.2015.18.014
- VernacularTitle:不横断颈前肌群方法在传统及腔镜甲状腺切除手术中的应用
- Author:
Xuesong WU
;
Hua WANG
;
Dong WEI
;
Feng SUN
;
Jun MA
;
Huirong TANG
;
Lin ZHOU
- Publication Type:Journal Article
- Keywords:
anterior cervical muscle group;
thyroidectomy;
thoracoscops
- From:
Chongqing Medicine
2015;(18):2488-2490
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of endoscopic thyroidectomy via breast approach without transection anterior cervical muscle group .Methods The clinical data of 130 patients which treated by thyroidectomy without transection ante‐rior cervical muscle group were analyzed ,retrospectively .There were 68 cases treated by endoscopic thyroidectomy via breast ap‐proach and 62 cases treated by conventional thyroidectomy .Results 68 patients underwent endoscopic thyroidectomy ,the mean time of operation was(127 .66 ± 29 .56)min ,which was longer than that in conventional group (89 .06 ± 24 .25)min(P<0 .01) ,but blood loss was significantly less in endoscopy group than that in conventional group(19 .13 ± 7 .37)mL vs .(50 .17 ± 29 .28)mL . (P<0 .01) .The patients treated by endoscopic thyroidectomy with neck pain induration were less than that in conventional group (1 case vs .7 case) ,P<0 .01 ,and the nerve dysfunction were (4 case vs .3 case) ,P>0 .05 ,the nerve dysfunction had no significant difference .Conclusion Endoscopic thyroidectomy via breast approach without transection anterior cervical muscle group has less blood loss ,lower neck pain induration rate ,hidden incisions and excellent cosmetic benefits .The method is safe and feasible .
