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目的:探讨应用腔镜经全乳晕入路行甲状腺微小乳头状癌根治手术的经验及效果。方法:回顾性分析2015年1月—2017年1月23例行腔镜经全乳晕入路甲状腺微小乳头状癌根治术患者的临床资料。患者均为甲状腺单发结节,肿瘤直径均≤1.0 cm;均无颈部淋巴结转移;其中女18例,男5例,平均年龄37.13岁。结果:均成功实施腔镜甲状腺癌根治术,无中转开放手术,术后无因并发症二次手术者。平均手术时间为183.83(155~221)min,平均术后引流管留置时间2.17(2~3)d,术后平均住院时间为2.39(2~5)d。术后发生轻度饮水呛咳1例,1周内恢复正常;术后出现不同程度的皮下气肿6例,1周内均自行吸收。随访至今未发现肿瘤复发、淋巴结或远处转移病例。术后随访观察患者切口瘢痕小,美容效果好。结论:全乳晕入路腔镜甲状腺微小乳头状癌根治术是一种效果确切、安全可行的方法,且美容效果好。
Objective: To investigate the experience and effect of endoscopic radical thyroidectomy with papillary thyroidectomy via total isola. Methods: The clinical data of 23 patients undergoing total thyroidectomy with papillary thyroidectomy undergoing total laryngectomy from January 2015 to January 2017 were retrospectively analyzed. Patients were single thyroid nodules, tumor diameter ≤ 1.0 cm; no neck lymph node metastasis; including 18 females, 5 males, mean age 37.13 years. Results: All patients underwent laparoscopic radical thyroidectomy without secondary transfer surgery and no postoperative complications due to secondary surgery. The average operation time was 183.83 (155 ~ 221) min. The average postoperative drainage tube indwelling time was 2.17 (2-3 days). The average postoperative hospital stay was 2.39 (2-5) days. Postoperative mild cough in drinking water in 1 case, returned to normal within 1 week; postoperative subcutaneous emphysema in varying degrees in 6 cases, were absorbed within 1 week. Up to now no recurrence, lymph node or distant metastasis were found. Follow-up observation of patients with scar incision, cosmetic effect is good. CONCLUSION: The total ankle endoscopic endoscopic thyroidectomy for papillary thyroidectomy is an effective, safe and feasible method, and the cosmetic effect is good.