Abstract:

【Abstract】 Objectives To analyze the complications and the reasons, and to evaluate the safety and feasibility of gasless video-assisted thyroidectomy by the anterior chest wall approach..Methods A total of 428 cases underwent gasless video-assisted thyroidectomy by the anterior chest wall approach,.in whom 359 cases received unilateral thyroidectomy and 69 cases bilateral thyroidectomy. Results All of the operations were completed without open thyroidectomy..There were 9 cases of postoperative transient hoarseness,2 cases of operative tracheal injury,2 cases of postoperative ecchymoma,one case of dermatic injury and one case of recurrent hyperthyreosis..Conclusion The surgical procedure of gasless video-assisted thyroidectomy by the anterior chest wall approach is safe and feasible.

Key words: Thyroid gland, Gasless video-assisted operation, Complications　

摘要：

【摘要】 目的 通过分析胸前入路无注气腔镜下甲状腺手术的并发症及其原因,评估该技术的安全性及可行性。方法 回顾总结428例胸部入路无注气腔镜辅助甲状腺手术,其中359例患者行单侧腺叶全切除,69例患者行双侧腺叶手术。结果 全部手术均成功,无一中转开放手术。术后声音嘶哑9例,术中发现气管损伤2例,术后皮下血肿2例,皮肤损伤1例,甲亢术后复发1例。结论 胸部入路无注气腔镜辅助下甲状腺手术总体是安全和可预防的。

关键词: 甲状腺, 腔镜手术, 并发症