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目的探讨2.7 mm针式腹腔镜甲状腺切除术的可行性。方法距胸骨上窝8 cm胸壁处取0.3 cm切口,旁开5 cm上移2 cm取左侧0.5 cm、右侧0.3 cm切口,行2.7 mm针式腹腔镜甲状腺肿瘤切除术。结果12例均成功施行2.7 mm针式腹镜甲状腺切除术,无术中大出血或中转开放手术。手术时间32~158 min,平均56 min;术中出血量2~60 ml,平均26 ml;无术后大出血、窒息,无声音嘶哑、手足抽搐等严重并发症。12例术后随访2~6个月,平均3.6月,无肿瘤复发。结论2.7 mm针式腹腔镜甲状腺切除术安全可行。
Objective To investigate the feasibility of 2.7 mm needle laparoscopic thyroidectomy. Methods From the chest wall of 8 cm above the sternum, a 0.3 cm incision was taken, the paracentesis of 5 cm was shifted up 2 cm, the left 0.5 cm and the right 0.3 cm incision were performed. The 2.7 mm needle laparoscopic thyroid tumor resection was performed. Results All the 12 cases were successfully performed 2.7 mm needle gastrectomy with no major intraoperative hemorrhage or open surgery. The operation time ranged from 32 to 158 minutes (average 56 minutes). The intraoperative blood loss was from 2 to 60 ml (mean, 26 ml). There were no serious complications such as hemorrhage, asphyxia, no hoarseness, twitch of hands and feet. 12 cases were followed up for 2 to 6 months, an average of 3.6 months, no tumor recurrence. Conclusion 2.7 mm needle laparoscopic thyroidectomy is safe and feasible.