探讨腹腔镜甲状腺手术中的路径方法，以降低手术操作难度，减少并发症。

对104例甲状腺疾病患者采用气管前入路手术方法施行腹腔镜甲状腺切除手术，先切断甲状腺峡部，继而切断管前筋膜、外侧韧带、悬韧带，甲状腺松动，再切断血管，根据病变决定甲状腺切除的多少。

本组患者手术均获成功，手术平均时间105（85~195）min，平均出血量25（5~115）ml，平均住院时间4.5（3~6）d。2例二次患者术后出现轻微喉返神经麻痹症状，经观察分别于术后3、6个月后自行恢复，无永久性喉返神经损伤。

气管前入路手术方法使腹腔镜甲状腺切除手术容易操作，同时减少手术并发症，是一种安全简捷的手术方法。

To investigate the laparoscopic procedures for thyroidectomy, and to reduce the operation difficulties and postoperative complications.

One hundred and four patients with thyroid disorders were given laparoscopic thyroidectomy. Firstly the isthmus was cut off, and then pretracheal fascia, the lateral ligament and the suspended ligament, and at last the blood vessel were cut off to dismiss the thyroid.

All the operations were successful. The average operation time was 105 (85-195) min, blood loss 25 (5-115) ml, and mean postoperative hospital stay was 4.5 (3-6) days. A slight laryngeal nerve paralysis occurred in two patients for a second surgery, but disappeared 3 and 6 months after the operation respectively.

Laparoscopic thyroidectomy becomes easy for the anterior approach of tracheal path and postoperative complications reduce.