Clinical Application of Extended Trocars in Endoscopic Thyroidectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUZhen-tao , WUYan-hua ,  ZHANGDuo-qiang

Department of General Surgery, Hospital of Zhangye City, Zhangye 734000, Gansu Provice, China;

Corresponding?author：

ZHANGDuo-qiang, Email: zhangduoqiang@163.com

Keywords：

Thyroid; Endoscopic thyroidectomy; Lengthened Trocar

DOI：

10.7507/1007-9424.20140203

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical significance of lengthened Trocars in endoscopic thyroidectomy. Methods There were 102 cases of endoscopic thyroidectomy via the areola approach, which were divided into two groups:33 patients via lengthened Trocar, and 69 patients via normal Trocar. The operative time, blood loss, wound drainage, hospital stay, and postoperative complications in two groups were comparatively analyzed. Results Compared with the normal Trocar group, the operative time was shorter, subcutaneous separation area was smaller, blood loss was less, and postoperative drainage was less in the lengthened Trocar group(P < 0.05). The postoperative complications of lengthened Trocar group was less than normal Trocar group(P < 0.05). Conclusions Application of lengthened Trocars in endoscopic thyroidectomy brings benefits of less subcutaneous damage, shorte operative time, and better operation experience. This procedure is worth popularizing in clinical use.

Citation： HUZhen-tao, WUYan-hua, ZHANGDuo-qiang. Clinical Application of Extended Trocars in Endoscopic Thyroidectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(7): 862-865. doi: 10.7507/1007-9424.20140203 Copy

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13.	陳志強, 王存川, 李進義.加長型Trocar在腔鏡甲狀腺手術中的應用[J].腹腔鏡外科雜志, 2013, 1(4):269-272.

1. ?王存川.實用腹腔鏡外科手術學[M].暨南大學出版社, 2006: 297-298.
2. 吳孟超, 吳在德.黃家駟外科學[M].人民衛生出版社, 2008: 1130-1131.
3. 王存川, 胡友主.完全乳暈入路腔鏡甲狀腺切除術[J].中華外科雜志, 2009, 47(17):1067-1069.
4. Huscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy[J]. Surg Endosc, 1997, 11(8):877-878.
5. 仇明, 丁爾迅, 江道振.頸部無瘢痕內鏡甲狀腺切除1例[J].中華普通外科雜志, 2002, 17(2):127-128.
6. 李永利, 王存川, 江奎, 等. 31例全乳暈徑路的腔鏡甲狀腺切除術的體會[J].中國現代普通外科進展, 2010, 13(7):581-582.
7. 張會英.經胸乳入路腔鏡下甲狀腺切除術42例分析[J].中國實用醫藥, 2009, 4(16):94-95.
8. 譚建中, 張洪武, 李理, 等.經上胸前壁入路腔鏡甲狀腺切除術21例[J].中國內鏡雜志, 2006, 12(6):635-637.
9. 翁山耕, 石錚, 林春忠, 等.經乳暈入路和經鎖骨下入路腔鏡甲狀腺切除術的對比分析[J].中華普通外科雜志, 2009, 24(10):854-855.
10. 范林軍, 姜軍, 楊新華, 等.經胸壁徑路腔鏡甲狀腺手術方法的技術探討[J].中國實用外科雜志, 2008, 28(6):481-484.
11. 額爾敦, 迎梅.經腋窩、乳暈途徑一頸前肌側方入路腔鏡下甲狀腺切除術25例[J].武警醫學院學報, 2010, 19(1):51-52.
12. 楊濤, 王旺河, 田鵬.腔鏡下甲狀腺手術38例[J].中國實用醫刊, 2009, 36(7):44-45.
13. 陳志強, 王存川, 李進義.加長型Trocar在腔鏡甲狀腺手術中的應用[J].腹腔鏡外科雜志, 2013, 1(4):269-272.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Application of Extended Trocars in Endoscopic Thyroidectomy

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