Anterior approach of tracheal path in laparoscopic thyroidectomy

doi:10.3877/cma.j.issn.1647-0793.2013.01.010

Abstract

Abstract:

Objective

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

Methods

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.

Results

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.

Conclusion

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

Key words: Anterior tracheal approach, Laparoscopy, Thyroid surgery, Application analysis

Feng MEI, Ling QIU, Wei-hong XU. Anterior approach of tracheal path in laparoscopic thyroidectomy[J]. Chinese Archives of General Surgery(Electronic Edition), 2013, 07(01): 40-44.

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