关键词: 小空间, 甲状腺结节, 腹腔镜

Abstract: ［Abstract］ Objective To report the surgical experience of endoscopic thyroidectomy with a small working. Methods Endoscopic thyroidectomy was carried out between December 2015 and December 2017 for 118 patients in our hospital. The patients were assigned to two group, small space group（S group, n=60）, a small working space（L group, n=58）according to the operative field. Results The operation time was similar in S group and L group, and the difference was not statistically significant（P>0.05）. S group had less bleeding than the L group（P<0.05）. Two cases had chest wall discomfort in S group, and most of L group had chest wall discomfort, and the difference was statistically significant（P<0.05）. The difference was statistically significant（P<0.05）in the subcutaneous effusion. The hoarseness occurred in both groups, and no statistically significant difference （P>0.05）. Conclusion Small working space endocospic thyroidectomy is a real cosmetic and minimally invasive operation , is also the future trend of thyroid surgery. Endoscopic thyroidectomy in a small working field is feasible and beneficial to the recovery of neck skin after operation.

Key words: small working space, thyroid nodule, laparoscope