Minimally invasive, totally gasless video-assisted thyroid lobectomy

被引:115
作者
Bellantone, R
Lombardi, CP
Raffaelli, M
Rubino, F
Boscherini, M
Perilli, V
机构
[1] Univ Cattolica Sacro Cuore, Dept Endocrine Surg, Rome, Italy
[2] Univ Cattolica Sacro Cuore, Ist Clin Chirurg, Rome, Italy
[3] Univ Cattolica Sacro Cuore, Ist Anestesia & Rianimaz, Rome, Italy
关键词
D O I
10.1016/S0002-9610(99)00054-9
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: Neck surgery is one of the newest fields of application of video-assisted surgery. We developed a technique for minimally invasive, totally gasless video-assisted thyroid lobectomy. METHODS: The procedure was accepted by a patient with a follicular nodule of the left lobe of the thyroid, We performed a left thyroid lobectomy through a single 20-mm horizontal skin incision, just above the sternal notch, after inserting a 5-mm 30 degrees laparoscope, by using both endoscopic and conventional instrumentation. RESULTS: The recurrent laryngeal nerve and the parathyroid glands were easily identified and preserved. The operating time was 2.5 hours. No complication occurred. The postoperative stay was 2 days. The cosmetic result was excellent. CONCLUSIONS: We concluded that our technique is feasible and safe. This makes us optimistic about the future of minimally invasive, video-assisted thyroid surgery. Am J Surg. 1999;177: 342-343. (C) 1999 by Excerpta Medica, Inc.
引用
收藏
页码:342 / 343
页数:2
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