逆耳膜内镜甲状腺切除术:最初的单一机构经验.
Erwin Danil Yulian1, Sonar Soni Panigoro2, Putri Arum Melati3
1Faculty of Medicine Universitas Indonesia, Surgical Oncology Division, Department of Surgery, Dr. Cipto Mangunkusumo General Hospital, Jalan Pangeran Diponegoro No. 71, Kenari, Central Jakarta, 10430, Indonesia. erwin.yulian@ui.ac.id.
Updates in surgery
|May 18, 2024
概括
无气体的后耳膜内镜甲状腺切除术提供了一个无痕的手术选择,特别是对于年轻女性. 这种方法是安全的,可行的,并带来了极好的患者满意度与最小的临时并发症.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 传统的甲状腺切除术往往导致可见的术后痕.
- 内镜甲状腺切除术提供无痕手术,这对于整形结果来说是一个显著的优势,特别是在年轻人中.
- 后耳式方法利用熟悉的面部整形切口,避免气体吸入,创造一个大的工作空间.
研究的目的:
- 为了评估无气体的后耳管内镜甲状腺切除术的安全性,可行性和结果.
- 评估术后痕,手术时间,并发症和患者满意度.
主要方法:
- 追溯分析31名接受无气体后耳膜内镜甲状腺切除术 (静脉切除术和脑膜切除术) 的患者.
- 收集的数据包括体检,实验室和组织病理学发现,手术时间,出血量和停留时间.
- 痕评估使用温哥华尺度系统;手术和瘤的结果被记录下来.
主要成果:
- 平均手术时间为154.2分钟,平均血液损失为69.2毫升.
- 平均住院时间为4.7天;所有并发症都是暂时的.
- 65.6%的患者报告说,他们对隐藏的后耳痕的满意度很高.
结论:
- 无气体的后耳膜内镜甲状腺切除术是一种安全且可行的远程访问技术.
- 该程序显示了优秀的术后结果和高的患者满意度关于痕的存在.
- 这种方法为寻求在甲状腺手术后尽量减少可见痕的患者提供了可行的替代方案.
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