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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Minimally invasive video-assisted thyroidectomy: a retrospective study over two years of experience.
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Minimally invasive video-assisted thyroidectomy: a retrospective study over two years of experience.

机译：微创电视辅助甲状腺切除术：两年以上的回顾性研究。

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OBJECTIVE: The minimally invasive video-assisted thyroidectomy technique has slowly gained acceptance. Previous studies have reported advantages of better cosmetic results and faster postoperative recovery. We report preliminary results from our single assistant technique over the initial two years of inception at an academic training center. METHODS: This study consists of a retrospective chart review of 172 cases between May 2005 and September 2007. All cases started as video-assisted thyroidectomy were included. Demographic, pre- and postoperative clinical data, imaging results, and hospital stay were collected. RESULTS: Acceptable data were available for 24 male and 148 female patients who underwent the video-assisted procedure. Five cases were converted to the conventional thyroidectomy. Of the 172 cases, 60 total thyroidectomies and 112 hemithyroidectomies were performed, with 37 cases of malignancy. The average hospitalization was 1.43 days with mean incision length was 3.51 cm, mean surgical time of 91.37 minutes, and mean blood loss of 31 cc. Transient voice problems were noted in 10 patients. CONCLUSION: We found statistically improved operative times, hospital stay, and blood loss the first 2 years with a low rate of temporary complications. It appears that minimally invasive video-assisted thyroidectomy is a safe and feasible option to standard thyroidectomy in selected patients.
机译：目的：微创电视辅助甲状腺切除术已逐渐获得认可。先前的研究报告了更好的美容效果和更快的术后恢复的优势。我们将在成立的最初两年内，在学术培训中心报告我们的单助手技术的初步结果。方法：本研究包括2005年5月至2007年9月之间的172例病例的回顾性图表回顾。所有病例均始于电视辅助甲状腺切除术。收集了人口统计学，术前和术后的临床数据，影像学结果和住院时间。结果：接受视频辅助手术的24例男性和148例女性患者可获得可接受的数据。 5例转为常规甲状腺切除术。在172例中，共进行了60例甲状腺切除术和112例半甲状腺切除术，其中37例为恶性肿瘤。平均住院时间为1.43天，平均切口长度为3.51 cm，平均手术时间为91.37分钟，平均失血量为31 cc。在10例患者中发现了短暂的语音问题。结论：我们发现前两年的手术时间，住院时间和失血有统计学意义的改善，暂时并发症的发生率较低。在某些患者中，微创电视辅助甲状腺切除术似乎是标准甲状腺切除术的安全可行选择。

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