摘要：目的 探讨腔镜辅助下小切口(Micooli手术)治疗甲状腺肿物的适应症及可行性。方法 颈前小切口,在5mm腹腔镜和超声刀辅助下人工建立操作空间行甲状腺腺瘤切除或者甲状腺部分切除。结果 25例手术均于小切口下完成，无中转手术,所有病例恢复正常, 无并发症, 颈部切口仅为2.0cm左右, 随访3~36个月, 切口瘢痕小，不影响美观。结论 Miccoli手术治疗甲状腺单发良性肿物安全可靠腔镜辅助下小切口甲状腺手术是可行的方法,既达到微创的目的,又能达到开放手术的目标,值得推广。

    关键词：腹腔镜；超声刀；甲状腺；微创

    Micooli Surgery Efficacy Analysis of 25 Cases of Thyroid Neoplasm

    YANG Wei,JIN Dan

    (Department of General Surgery,Fushun Mining Bureau General Hospital,Fushun 113008,Liaoning ,China)

    Abstract：ObjectiveTo study the endoscopy assisted small incision (Micooli surgery) of the indications and feasibility of treatment of thyroid neoplasm. MethodsSmall incision, anterior portion in 5 mm laparoscopic and ultrasonic knife aided by artificial operation space or thyroid gland resection of thyroid adenoma resection. Results25 cases were completed under the small incision, no transit operation, all cases returned to normal, no complications and the neck incision was only 2.0 cm, followed up for 3 ~ 36 months, small incision scar, do not affect beautiful. ConclusionMiccoli safe and reliable surgery for single benign thyroid neoplasm endoscopy assisted small incision thyroid surgery is feasible method and achieve the goal of minimally invasive, and can achieve the goal of open surgery, is worth promoting. ......