3D高清腹腔镜在甲状腺外科的应用

董彦明，彭书甲，王浩，包国强

（第四军医大学唐都医院普外科，陕西 西安，710038）

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摘要：

目的 探讨3D高清腹腔镜在经胸乳入路甲状腺手术中的可行性和安全性。方法 回顾性分析2016年5月至2016年6月的10例直径 ≦5 cm的甲状腺良恶性结节患者经胸乳入路行腔镜下甲状腺切除术的临床资料，观察患者手术时间、术中出血量、住院时间、术后引流量、并发症等情况。结果 10例均顺利完成3D腔镜手术。手术时间为70~160min；术中出血量为10~30mL；术后引流量为10~20mL；术后平均住院时间为（5.0±1.5）d；术后出现5例并发症。结论 运用3D腹腔镜行经胸乳 入路腔镜甲状腺（良恶性结节直径 ≦5cm）手术是安全、可行的。

关键词：3D腹腔镜；甲状腺切除术；可行性；安全性

中图分类号：R699文献标志码：A文章编号：2096-1413(2017)08-0140-02

Application of three-dimensional high-definition laparoscope in thyroid surgery
DONG Yan-ming, PENG Shu-jia, WANG Hao, BAO Guo-qiang
(Department of General Surgery, Tangdu Hospital, the Forth Military Medical University, Xi'an 710038, China)

ABSTRACT: Objective To evaluate the feasibility and safety of three-dimensional (3D) high-definition (HD) laparoscope in thyroidectomy via the chest and breast.Methods Ten patients with benign or malignant thyroid nodules (≦5 cm) received laparoscopic thyroidectomy in the department of general surgery from May 2016 to Jun 2016 were analyzed retrospectively. The operation time, intraoperative blood loss, hospital stay,postoperative drainage volum, surgical complications were observed. Results The ten patients were all completed the 3D HD laparoscopy successfully; the operation time was 70~160 min; the intraoperative blood loss was 10~30 mL; the volume of drainage after the surgery was 10~20 mL, the mean postoperative hospital stays was (5.0±1.5)d, and there were 5 cases of postoperative complications. Conclusion The 3D HD laparoscope in thyroidectomy via the chest and breast (benign and malignant thyroid nodules diameter ≦5 cm) is feasible and safe.
KEYWORDS: three-dimensional laparoscopy; thyroidectomy; feasibility; safety

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