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目的探讨在不延长手术切口(常规甲状腺叶切除术)的情况下,利用腹腔镜技术完成颈侧区淋巴结清扫的可行性。方法利用腹腔镜、超声刀和悬吊拉钩完成12例颈侧区淋巴结清扫术。结果 12例均顺利完成手术,与常规开放手术比较,具有切口小、视野清晰、损伤小、安全性高等优点。结论利用腔镜辅助进行颈侧区淋巴结清扫不仅可以彻底清除颈侧区纤维脂肪组织,还可以最大程度保留颈部功能和外形,改善患者术后生活质量。
Objective To explore the feasibility of using laparoscopic technique to complete neck lateral lymph node dissection without prolonging surgical incision (conventional thyroidectomy). Methods Laparoscopic, ultrasonic scalpel and suspension hook were used to complete 12 cases of cervical lymph node dissection. Results All the 12 cases were successfully performed. Compared with the conventional open surgery, they had the advantages of small incision, clear vision, less damage and higher safety. Conclusions The laparoscopic-assisted lymphadenectomy can not only completely clear the fibrous fat in the cervical region, but also preserve the function and appearance of the neck to the greatest extent and improve the postoperative quality of life.