关键词: 甲状腺切除术, 喉返神经, 腔镜

Abstract: 【Abstract】〓Objective〓To summarize the experience for protecting recurrent laryngeal nerve in laparoscopic thyroidectomy. Methods〓Ninety?鄄three patients under went laparoscopic thyroidectomy in July 2011 to June 2015 and their clinical data were retrospectively analyzed..Basing on different diagnosis, patients were treated with different surgical procedures, including partial thyroidectomy, subtotal thyroidectomy, thyroid gland and isthmic resection or lymph node dissection. During operation, recurrent laryngeal nerve was exposed through tracheoesophageal groove route, and thyroid artery area route and inferior corner of thyroid cartilage route. Results〓Recurrent laryngeal nerves were successfully exposed in all cases, including 32 nerves of left side, 37 nerves of right side, 48 nerves in both sides. Among of them, 57 cases were exposed through tracheoesophageal groove route(account for 48.71%),48 were through thyroid artery area route(account for 41.03%),and 12 were through inferior corner of thyroid cartilage route (account for 10.26%). Temporary paralysia of recurrent layngeal occurred in three cases, and no permanent nerve injury was found. Conclusion〓As long as knowing well correct anatomic approach and skills,following the principle of initiative exposing and strict protection, exposing recurrent laryngeal nerve in laparoscopic thyroidectomy should be feasible and safe.

Key words: Laparoscope, thyroidectomy, Recurrent laryngeal nerve