Surgery for thyroid disease requires skin incisions that can result in postsurgical problems such as prominent scars, adhesions, hypesthesia, and paresthesia in the neck. To overcome these problems we performed gasless endoscopic thyroidectomy via an axillary approach. Between May 2004 and April 2005, 30 patients underwent gasless endoscopic thyroidectomy via an axillary approach. The mean operating time was 126.8+/-32.4 minutes, and the mean length of hospital stay was 4.3+/-1.1 days. No cases required conversion to open surgery and none involved significant intraoperative complications. Three patients (10.0%) complained of slight hypesthesia or paresthesia in the anterior chest wall, and only 2 patients (6.7%) complained of discomfort while swallowing 4 months after surgery. All patients were satisfied with the cosmetic results. Gasless endoscopic thyroidectomy via an axillary approach is feasible and safe and provides excellent cosmetic results with a minimal degree of postoperative complaints.

译文

:甲状腺疾病的手术需要皮肤切口,这可能导致术后问题,例如明显的疤痕,粘连,感觉异常和颈部感觉异常。为了克服这些问题,我们通过腋窝入路进行了无气内镜甲状腺切除术。在2004年5月至2005年4月之间,有30例患者通过腋窝入路行无气内镜甲状腺切除术。平均手术时间为126.8 /-32.4分钟,平均住院时间为4.3 /-1.1天。没有病例需要转换为开放手术,也没有涉及重大的术中并发症。 3例患者(10.0%)抱怨前胸壁轻度感觉异常或感觉异常,而只有2例患者(6.7%)吞咽术后4个月吞咽不适。所有患者对美容效果均满意。通过腋窝入路的无气内镜甲状腺切除术是可行且安全的,并能以极少的术后不适程度提供出色的美容效果。

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