Application Value of Total Membrane Dissection in Endoscopic Thyroidectomy
10.3969/j.issn.1009-6604.2018.04.007
- VernacularTitle:全被膜剥离法在腔镜甲状腺切除术中的应用价值
- Author:
Dongwei LI
1
;
Junjiu LI
;
Huichang ZHANG
;
Dachao MO
;
Da SUN
;
Yuanhong SU
;
Wen YANG
Author Information
1. 中山大学附属东华医院普外科
- Keywords:
Endoscopic thyroidectomy;
Total membrane dissection;
Axillo-breast approach;
Benign thyroid nodule
- From:
Chinese Journal of Minimally Invasive Surgery
2018;24(4):316-318
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application value of endoscopic thyroidectomy via total membrane dissection. Methods One hundred and sixteen patients with benign thyroid nodules were given axillo-breast approach endoscopic thyroidectomy via total membrane dissection from January 2014 to December 2016. Results Endoscopic thyroidectomy was completed in all the patients without conversion to open surgery.The operation time was 45-125 min[mean,(65.6 ±36.7)min],the blood loss was 10-220 ml[mean,(43.2 ±22.7)ml],the postoperative drainage volume was 25-305 ml[mean,(95.3 ±53.8)ml], the postoperative drainage time was 2-4 d[mean,(2.3 ±0.7)d)],and the length of hospital stay was 3-6 d[mean,(4.1 ±1.1)d].Short-term twitch occurred in 1 case and seroma occurred in 2 cases.No other complications such as hoarseness,bucking or asphyxia occurred in this series. Conclusion Endoscopic thyroidectomy via total membrane dissection can effectively avoid the injury of recurrent laryngeal nerve and parathyroid gland.
