Laparoscopic thyroidectomy by oral plus breast approach for the treatment of papillary throid carcinoma: a report of 26 cases
10.3760/cma.j.issn.1007-631X.2017.03.002
- VernacularTitle:经胸经口联合入路腔镜甲状腺癌切除术26例
- Author:
Jinbo FU
;
Yezhe LUO
;
Xiaoquan HONG
;
Ende LIN
;
Fusheng LIN
;
Penghao KUANG
;
Qinggui CHEN
;
Wei YAN
;
Guoyang WU
- Keywords:
Thyroid neoplasms;
Thyroidectomy;
Neck dissection
- From:
Chinese Journal of General Surgery
2017;32(3):191-193
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and results of laparoscopic thyroidectomy by oral and breast approach for the treatment of papillary throid carcinoma.Methods Thyoidectomy was performed in 26 cases,including 24 females and 2 males with the average age of 34 years (range 20-53 years).All patients were diagnosed throid carcinoma confirmed by FNA or B-mode ultrasound examination,a thyroid lobe or total thyroidectomy and central compartment dissection was performed by breast approach,then additional dissection of central compartment was completed through oral approach.Results Laparoscopic thyroidectomy via oral in combination with brest approach was performed successfully in all 26 cases.The mean operative time was (164 ± 13) min,including average time of oral approach of (40 ± 7) min.The mean number of lymph node dissection in central compartment was 7.42 ± 4.88,oral approach achieved additional 1.23 ± 2.21,with metastatic lymph nodes diseccted by oral approach in 3 cases.Conclusions Laparoscopic thyroidectomy via oral in combination with breast approach for the treament of papillary throid carcinoma is better than breast approach alone in central compartment dissection.
