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首页> 外文期刊>Surgical Endoscopy >Endocrine surgical technique: endoscopic thyroidectomy via the lateral approach.
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Endocrine surgical technique: endoscopic thyroidectomy via the lateral approach.

机译：内分泌手术技术：经侧入路内镜甲状腺切除术。

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BACKGROUND: Minimal access approaches are increasingly used in endocrine surgery. Several minimal access approaches to the thyroid gland have been described, including a small-incision lateral approach and a video-assisted central approach, but to date no technique has been universally accepted. METHODS: Benefiting from the experience of more than 500 endoscopic parathyroidectomies via a lateral neck approach, the authors developed an endoscopic thyroidectomy based on the same approach and principles. Patients with solitary nodules smaller than 3 cm in diameter and no history of neck surgery or irradiation were offered this operation. A detailed description of the surgical technique is provided. RESULTS: Of the 742 thyroidectomies performed in 2004, 38 (5.1%) were endoscopic thyroidectomies. The mean nodule size was 22-mm (range, 7-47-mm), and the mean operating time was 99 min (range, 64-150-min). In all cases, the recurrent laryngeal nerve was preserved intact, and the superior and inferior parathyroids were identified, respectively, in 36 and 33 of the 38 patients. Two patients required conversion to an open cervicotomy. All patients were discharged the day after surgery. CONCLUSIONS: The described endoscopic lateral approach combines the coherence of the minimal access lateral approach and the benefits of fiberoptic magnification. It is a safe and effective technique in the hands of an appropriately trained surgeon.
机译：背景：内分泌外科手术越来越多地使用最小通路。已经描述了几种通向甲状腺的最小通路，包括小切口侧向通路和视频辅助中央通路，但是迄今为止，尚未有任何技术被普遍接受。方法：受益于通过侧颈入路的500多个内镜下甲状旁腺切除术的经验，作者基于相同的方法和原理开发了一种内窥镜甲状腺切除术。单发结节直径小于3 cm且无颈部手术或放射史的患者可进行此项手术。提供了外科技术的详细描述。结果：在2004年进行的742例甲状腺切除术中，有38例（5.1％）为内镜下甲状腺切除术。平均结节大小为22毫米（范围为7-47毫米），平均手术时间为99分钟（范围为64-150分钟）。在所有情况下，38例患者中的36例和33例均保留了喉返神经完整，并分别确定了上，下甲状旁腺。两名患者需要转换为开放式宫颈切开术。术后第二天所有患者均出院。结论：所描述的内窥镜侧入路结合了最小通入侧入路的连贯性和光纤放大的优势。在经过适当培训的外科医生手中，这是一种安全有效的技术。

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