南方医科大学学报

南方医科大学学报 ›› 2014, Vol. 34 ›› Issue (08): 1233-.

• • 上一篇    

D腹腔镜在经胸乳入路甲状腺次全切除术中的临床效果

邹兆伟，黄宗海，李强，陈飞，赵大川，汪勉   

  • 出版日期:2014-08-20 发布日期:2014-08-20

A comparative study of three-dimensional versus two-dimensional laparoscopic subtotal
thyroidectomy via a breast approach

  • Online:2014-08-20 Published:2014-08-20

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摘要： 目的探讨3D腔镜系统在经胸乳入路甲状腺次全切除术中的安全性、有效性及可行性。方法将2013年9月~2013年12
月我科行2D腔镜甲状腺次全切除术30例患者与同期行3D腔镜甲状腺次全切除术的30例患者临床资料进行对照研究，观察两
组手术时间、术中出血量、术后引流量、术后住院时间、总住院费用。结果3D组手术时间显著短于与2D组，分别为62.77±
10.73 min和45.67±8.22 min（t=6.928，P<0.05），术中出血量、术后引流量、术后住院时间及总住院费用等无明显差异。结论3D
腔镜经乳晕甲状腺次全切除术安全、有效，显著缩短手术时间，可作为甲状腺次全切除术的常规手术方法。

Abstract: Objective To explore the safety, efficacy and feasibility of 3D laparoscopic subtotal thyroidectomy via a breast
approach. Methods The clinical data of 30 patients undergoing 3D laparoscopic subtotal thyroidectomy via a breast approach
were analyzed in comparison with 30 patients receiving traditional laparoscopic subtotal thyroidectomy during the period
from September, 2013 to December, 2013. The operation time, blood loss, postoperative drainage, postoperative hospital stay,
and total hospitalization expenses were compared between the two groups. Results The operation time in the 3D group was
significantly shorter than that in the 2D group (45 ± 26.3 vs 62 ± 24.8 min, t=0.53, P<0.05). The intraoperative blood loss,
postoperative drainage, postoperative hospital stay and total hospitalization expenses did not show significant differences
between the two groups. Conclusions 3D laparoscopic subtotal thyroidectomy via a breast approach is safe and effective and
shortens the operation time, and can be used as a routine operation for subtotal thyroidectomy.