[症例報告]自律性機能性甲状腺結節(AFTN)に対し内視鏡下甲状腺切除術を施行した2例

概要

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Endoscopic surgery has been widely applied with the view of minimizing tissue trauma and improving the cosmetic outcome of surgery by avoiding large operative scars. Endoscopic surgery for thyroid disease has been reported in recent literature. Our report is on two patients with autonomously functioning thyroid nodules, on whom we performed endoscopic thyroidectomy. These patients had unilateral thyroid nodules. ^<99m>Tc scintigram showed increased uptake in areas where the nodules were. We performed endoscopic thyroidectomy using an anterior chest approach. C0_2 was insufflated at 4mmHg of intraspace pressure to create the working space. Three trocars were inserted from the subclavian area, and the thyroid dissection and the resection of vessels were performed with a harmonic scalpel. The operation time of these two patient were 120 and 118 minutes respectively. The two patients were discharged from hospital on the 2 nd and 3 rd post operative days respectively and were fully satisfied with the cosmetic result.
琉球医学会,Ryukyu Medical Associationの論文