|
|
Efficacy of endoscopic thyroidectomy for benign thyroid disease through bilateral mammary areola |
XIE Jingjun1,LIU Qingyuan2,WANG Hai1,XUE Guangqian1,ZHAO Guoqiang1,and WANG Huaizhi1 |
1. Department of General Surgery, Henan Provincial Corps Hospital, Chinese People’s Armed Police Forces, Zhengzhou 450052, China; 2. Department of Health Care, Clinic of Chinese People’s Armed Police Forces Headquaters, Beijing 100089, China |
|
|
Abstract Objective To study the clinical efficacy of endoscopic thyroidectomy through bilateral mammary areola for benign thyroid disease. Methods From January 2010 to January 2012, 165 patients with benign thyroid disease were recruited as subjects of the observation group, and from January 2009 to December 2009, 162 patients who underwent traditional open surgery were recruited as subjects of the control group.The clinical efficacy in the two groups was compared. Results The operation time in the observation group was longer than that in the control group, the difference was not statistically significant (P>0.05). The blood loss in the observation group (50.3±10.4) ml was less than that in the control group (100.7± 20.6) ml; the difference was statistically significant (P<0.05). The levels of postoperative IL-6 (21.45±1.42) pg/ml and TNF-α (26.58±1.62) pg/ml in the observation group were significantly lower than those in the control group (36.36±1.45, 35.51±1.53). The cosmetic effect satisfaction in observation group (8.9±0.8) was higher than that in the control group (4.2±0.4); the difference was statistically significant (P<0.05). Conclusions In the endoscopic thyroidectomy through bilateral mammary areola, the blood loss is less, the rate of postoperative complication is lower, especially the cosmetic effect satisfaction is better than in open surgery; so endoscopic thyroidectomy through anterior chest wall is worthy to be popularized.
|
Received: 10 August 2013
|
|
|
|
|
[1] |
Tancrl, Cheah W K, Delbridge J.Scarless in the neck endoscopic thyroideetotmy(SET):an evidence-based review of published tecniques [J].Word J Surg, 2008, 32(7):1349-1357.
|
[4] |
赵国强, 尹继云, 孟 晓.甲状腺腔镜下手术与常规手术对比研究[J].武警医学, 2008, 19(12):203-204.
|
[2] |
范大光, 武书胜, 徐 钧, 等.乳晕入路腔镜甲状腺切除术与传统开放手术的临床对比研究[J].中国药物与临床, 2011, 11( 1):74-76.
|
[5] |
崔兆清, 姚玉民, 章 阳.腔镜甲状腺术后患者血清和创腔引流液中IL-6及TNF-α的表达变化[J].山东医药, 2009, 49(12):62-63.
|
[6] |
孙志刚, 陆 涛, 卢榜裕, 等.腔镜与传统甲状腺手术对机体免疫功能的影响[J].中国微创外科杂志, 2009, 9(1):62-65.
|
[3] |
额尔墩, 迎 海.经腋窝、乳晕途径-颈前肌侧方入路腔镜下甲状腺切除术25例 [J]. 武警医学院学报, 2010, 19(1): 263-264.
|
[4] |
赵国强, 尹继云, 孟 晓.甲状腺腔镜下手术与常规手术对比研究[J].武警医学, 2008, 19(12):203-204.
|
[7] |
李 红.腔镜甲状腺手术对甲状腺疾病患者临床疗效及炎症因子的影响[J].实用预防医学, 2011, 18(6):1100-1101.
|
[5] |
崔兆清, 姚玉民, 章 阳.腔镜甲状腺术后患者血清和创腔引流液中IL-6及TNF-α的表达变化[J].山东医药, 2009, 49(12):62-63.
|
[6] |
孙志刚, 陆 涛, 卢榜裕, 等.腔镜与传统甲状腺手术对机体免疫功能的影响[J].中国微创外科杂志, 2009, 9(1):62-65.
|
[7] |
李 红.腔镜甲状腺手术对甲状腺疾病患者临床疗效及炎症因子的影响[J].实用预防医学, 2011, 18(6):1100-1101.
|
|
|
|