【Abstract】Objective To explore the operative technique of endoscopic thyroidectomy and prevent its complications. Methods A retrospective analysis was made on the clinical data of 32 patients with benign thyroid diseases who were treated with endoscopic thyroidectomy between May 2002 and March 2005. Results Thirtytwo cases were successfully treated with the mean operation time 130 min(80～180 min). Twelve cases with thyroid adenomas and 20 cases with thyroid tubers were confirmed by histologic examinations. In this group, the postoperative complications included fat liquefaction in 2 cases and transient hoarseness in 1 case who recovered 3 months after operation. No parathyroid injury occurred. The drainage tubes were removed 2~3 days after operation. All of the patients were discharged 2~5 days after operation.Conclusion Endoscopic thyroidectomy is safe and feasible with favorable cosmetic effect.
Citation：
SUN Tiewei,SUN Shibo,WU Dequan.. Application of Endoscopy in Thyroid Surgery and Prevention of Complications. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(6): 566-567. doi:
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1 Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism
[Ｊ]. Br J Surg， 1996; 83(6) 8752 Rubino F, Pamoukian VN, Zhu JF, et al. Endoscopic endocrine neck surgery with carbon dioxide insufflation: the effect on intracranial pressure in a large animal model [Ｊ]. Surgery, 2000; 128(6)10353 Ochiai R, Takeda J, Noguchi J, et al. Subcutaneous cabon dioxide insufflation does not cause hypercarbia during endoscopic thyroidectomy [Ｊ]. Anesth Analg, 2000; 90(3)7604 Shimizu K, Akira S, Jasmi AY, et al. Videoassisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound [Ｊ]. J Am Coll Surg, 1999; 188(6)697.
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- 1. 1 Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism
[Ｊ]. Br J Surg， 1996; 83(6) 8752 Rubino F, Pamoukian VN, Zhu JF, et al. Endoscopic endocrine neck surgery with carbon dioxide insufflation: the effect on intracranial pressure in a large animal model [Ｊ]. Surgery, 2000; 128(6)10353 Ochiai R, Takeda J, Noguchi J, et al. Subcutaneous cabon dioxide insufflation does not cause hypercarbia during endoscopic thyroidectomy [Ｊ]. Anesth Analg, 2000; 90(3)7604 Shimizu K, Akira S, Jasmi AY, et al. Videoassisted neck surgery: endoscopic resection of thyroid tumors with a very minimal neck wound [Ｊ]. J Am Coll Surg, 1999; 188(6)697.
