...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Minimally invasive video-assisted thyroidectomy: indications and technique.
【24h】

Minimally invasive video-assisted thyroidectomy: indications and technique.

机译：微创电视辅助甲状腺切除术：适应症和技术。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Although thyroid surgery is associated with significant severe complications such as neck hematoma, nerve damage, and hypocalcemia, for the experienced thyroid surgeon, these are thankfully rare. Most patients undergoing surgery are female and often young and will in the majority of cases prove postoperatively to have a benign pathology, which has led to the trend of using smaller, minimal access thyroid incisions with expected better cosmesis.A recent trend in many fields of surgery has been the use of ever-improving endoscopic visualization equipment to allow minimal access surgery. Not surprisingly, these techniques have been applied in neck surgery, particularly for parathyroid and thyroid surgery. One of the more popular techniques is the video-assisted minimal invasive thryoidectomy described by Miccoli. Unlike laparoscopic techniques, this does not involve insufflation. Access is through a small 1.5- to 3-cm incision in the lower midline of the neck. Selection criteria are confined to patients with thyroid nodules less than 35 mm in largest diameter with preoperative ultrasound thyroid volume estimation of less than 20 mL. Other exclusion criteria are no thyroiditis, no previous neck surgery, and no history of radiation. To date, Miccoli has published his 5-year experience of 579 cases from a total of 5,450 thyroidectomies performed with excellent results and minimal morbidity compared with the conventional approach.
机译：尽管甲状腺手术会伴有严重的严重并发症，例如颈部血肿，神经损伤和血钙过低，但对于经验丰富的甲状腺外科医生而言，这些手术很少见。大多数接受外科手术的患者均为女性，通常为年轻患者，多数情况下会证明术后具有良性病理，这导致了使用较小，最小通路的甲状腺切口的趋势，并有望获得更好的美容效果。外科手术一直在使用不断改进的内窥镜可视化设备，以允许最少的手术。毫不奇怪，这些技术已应用于颈部手术，特别是用于甲状旁腺和甲状腺手术。一种比较流行的技术是Miccoli描述的视频辅助微创甲状腺切除术。与腹腔镜技术不同，这不涉及吹气。可以通过在颈部下中线的1.5到3厘米的小切口进入。选择标准仅限于最大直径小于35 mm的甲状腺结节患者，术前超声甲状腺体积估计小于20 mL。其他排除标准包括无甲状腺炎，无颈部手术和无放射史。迄今为止，Miccoli公布了他在总共5450例甲状腺切除术中579例的5年经验，与传统方法相比，具有出色的结果和最低的发病率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号