On causes and preventive measures of recurrent laryngeal nerve injury during endoscopic thyroidectomy:Report of 3 cases
- VernacularTitle:腔镜下甲状腺手术喉返神经损伤原因分析及预防(附3例报告)
- Author:
Hong WANG
;
Lisheng WU
;
Congyin TU
- Publication Type:Journal Article
- Keywords:
Endoscopic thyroidectomy;
Recurrent laryngeal nerve;
Injury;
Prevention
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore causes and preventive measures of recurrent laryngeal nerve injury during endoscopic thyroidectomy.Methods Clinical data of 3 cases of recurrent laryngeal nerve injury from 101 cases of endoscopic thyroidectomy in this hospital from January 2002 to July 2006 were retrospectively analyzed and summarized.Results There were 3 cases of hoarseness occurred at 24 h after operation.Under indirect laryngoscopy,the unilateral vocal cord was found immobile.The reasons leading to the injury included thermal burn by ultrasound knife in 2 cases and edema compression in 1 case.The injury was transient recurrent laryngeal nerve paralysis.The symptoms subsided spontaneously 3 months after operation in 2 cases and 20 days after operation in 1 case,respectively.Conclusions The recurrent laryngeal nerve injury is usually correlated with unskillful use of ultrasound knife.The improvement of surgeon's technique is crucial to reduce the incidence of this complication.
