甲狀腺手術理念進展與新型手術器械在甲狀腺外科中的應用_《中國普外基礎與臨床雜志》

作者：

魏濤 , 朱精強

四川大學華西醫院甲狀腺乳腺外科（四川成都 610041）;

關鍵詞：

甲狀腺手術精細化被膜解剖雙極電凝鑷超聲刀頸淋巴結清掃術

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的總結甲狀腺手術理念的進展以及新型手術器械在甲狀腺手術中的應用。方法通過查閱文獻，總結分析相關文獻內容。結果全甲狀腺切除術逐漸成為治療甲狀腺分化癌或甲狀腺多發結節的首選治療方式，甲狀腺手術技術從保護喉返神經向保護甲狀旁腺轉變，超聲刀、雙極電凝、Ligasure等新型手術器械在甲狀腺手術中的應用，縮短手術時間，減少術中出血量。結論甲狀腺手術理念和技術均有了新的轉變，全甲狀腺切除和甲狀旁腺的保護越來越受到重視，新的手術器械的應用也越來越廣泛。

引用本文： 魏濤,朱精強. 甲狀腺手術理念進展與新型手術器械在甲狀腺外科中的應用. 中國普外基礎與臨床雜志, 2011, 18(2): 220-224. doi: 復制

1.	Enewold L, Zhu K, Ron E, et al. Rising thyroid cancer incidence in the United States by demographic and tumor characteristics, 19802005 [J]. Cancer Epidemiol Biomarkers Prev, 2009, 18(3): 784791.
2.	Burgess JR, Tucker P. Incidence trends for papillary thyroid carcinoma and their correlation with thyroid surgery and thyroid fineneedle aspirate cytology [J]. Thyroid, 2006, 16(1): 4753.
3.	Colonna M, Guizard AV, Schvartz C, et al. A time trend analysis of papillary and follicular cancers as a function of tumour size: a study of data from six cancer registries in France (19832000) [J]. Eur J Cancer, 2007, 43(3): 891900.
4.	Davies L, Welch HG. Increasing incidence of thyroid cancer in the United States, 19732002 [J]. JAMA, 2006, 295(18): 21642167.
5.	Leenhardt L, Grosclaude P, ChériéChalline L. Increased incidence of thyroid carcinoma in France: a true epidemic or thyroid nodule management effects? Report from the French Thyroid Cancer Committee [J].Thyroid, 2004, 14(12): 10561060.
6.	Liu S, Semenciw R, Ugnat AM, et al. Increasing thyroid cancer incidence in Canada, 19701996: time trends and ageperiodcohort effects [J]. Br J Cancer 2001, 85(9): 13351339.
7.	Lubina A, Cohen O, Barchana M, et al. Time trends of incidence rates of thyroid cancer in Israel: what might explain the sharp increase [J].Thyroid, 2006, 16(10): 10331040.
8.	Reynolds RM, Weir J, Stockton DL, et al. Changing trends in incidence and mortality of thyroid cancer in Scotland [J]. Clin Endocrinol(Oxf), 2005, 62(2):156162.
9.	Smailyte G, MiseikyteKaubriene E, Kurtinaitis J. Increasing thyroid cancer incidence in Lithuania in 19782003 [J]. BMC Cancer, 2006, 6: 284.
10.	AlboresSaavedra J, Henson DE, Glazer E, et al. Changing patterns in the incidence and survival of thyroid cancer with follicular phenotype－papillary, follicular, and anaplastic: a morphological and epidemiological study [J]. Endocr Pathol, 2007, 18(1): 17.
11.	Bilimoria KY, Bentrem DJ, Linn JG, et al. Utilization of total thyroidectomy for papillary thyroid cancer in the United States [J]. Surgery, 2007, 142(6): 906913.
12.	Mazzaferri EL, Massoll N. Management of papillary and follicular (differentiated) thyroid cancer: new paradigms using recombinant human thyrotropin [J]. Endocr Relat Cancer, 2002, 9(4): 227247.
13.	Shrime MG, Goldstein DP, Seaberg RM, et al. Costeffective management of lowrisk papillary thyroid carcinoma [J]. Arch Otolaryngol Head Neck Surg, 2007, 133(12): 12451253.
14.	Rosenbaum MA, McHenry CR. Central neck dissection for papillary thyroid cancer [J]. Arch Otolaryngol Head Neck Surg, 2009, 135(11): 10921097.
15.	Duh QY, Sancho JJ, Greenspan FS, et al. Medullary thyroid carcinoma. The need for early diagnosis and total thyroidectomy [J]. Arch Surg, 1989, 124(10): 12061210.
16.	Sippel RS, Kunnimalaiyaan M, Chen H. Current management of medullary thyroid cancer [J]. Oncologist, 2008, 13(5): 539547.
17.	Veyseller B, Aksoy F, Demirhan H, et al. Total thyroidectomy in benign thyroid diseases [J]. Kulak Burun Bogaz Ihtis Derg, 2009, 19(6): 299303.
18.	Barakate MS, Agarwal G, Reeve TS, et al. Total thyroidectomy is now the preferred option for the surgical management of Graves’ disease [J]. ANZ J Surg, 2002, 72(5): 321324.
19.	Friguglietti CU, Lin CS, Kulcsar MA. Total thyroidectomy for benign thyroid disease [J]. Laryngoscope, 2003, 113(10): 18201826.
20.	Yang W, Shao T, Ding J, et al. The feasibility of total or neartotal bilateral thyroidectomy for the treatment of bilateral multinodular goiter [J]. J Invest Surg, 2009, 22(3): 195200.
21.	Hussain M, Hisham AN. Total thyroidectomy: the procedure of choice for toxic goiter [J]. Asian J Surg, 2008, 31(2): 5962.
22.	Colak T, Akca T, Kanik A, et al. Total versus subtotal thyroidectomy for the management of benign multinodular goiter in an endemic region [J]. ANZ J Surg, 2004, 74(11): 974978.
23.	Chiang FY, Lin JC, Wu CW, et al. Morbidity after total thyroidectomy for benign thyroid disease: comparison of Graves’ disease and nonGraves’ disease [J]. Kaohsiung J Med Sci, 2006, 22(11): 554559.
24.	Ayache S, Tramier B, Chatelain D, et al. Evolution of the thyroid surgical treatment to the total thyroidectomy. Study of about 735 patients [J]. Ann Otolaryngol Chir Cervicofac, 2005, 122(3): 127133.
25.	Ku CF, Lo CY, Chan WF, et al. Total thyroidectomy replaces subtotal thyroidectomy as the preferred surgical treatment for Graves’ disease [J]. ANZ J Surg, 2005, 75(7): 528531.
26.	Vaiman M, Nagibin A, Hagag P, et al. Subtotal and near total versus total thyroidectomy for the management of multinodular goiter [J]. World J Surg, 2008, 32(7): 15461551.
27.	Agarwal G, Aggarwal V. Is total thyroidectomy the surgical procedure of choice for benign multinodular goiter? An evidencebased review [J].World J Surg, 2008, 32(7): 13131324.
28.	Acun Z, Comert M, Cihan A, et al. Neartotal thyroidectomy could be the best treatment for thyroid disease in endemic regions [J]. Arch Surg, 2004, 139(4): 444447.
29.	Erbil Y, Barbaros U, Salmaslioˇglu A, et al. The advantage of neartotal thyroidectomy to avoid postoperative hypoparathyroidism in benign multinodular goiter [J]. Langenbecks Arch Surg, 2006, 391(6): 567573.
30.	Unalp HR, Erbil Y, Akguner T, et al. Does near total thyroidectomy offer advantage over total thyroidectomy in terms of postoperative hypocalcemia? [J]. Int J Surg, 2009, 7(2): 120125.
31.	Tezelman S, Borucu I, Senyurek Giles Y, et al. The change in surgical practice from subtotal to neartotal or total thyroidectomy in the treatment of patients with benign multinodular goiter [J]. World J Surg, 2009, 33(3): 400405.
32.	Efremidou EI, Papageorgiou MS, Liratzopoulos N, et al. The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases [J]. Can J Surg, 2009, 52(1): 3944.
33.	Bhattacharyya N, Fried MP. Assessment of the morbidity and complications of total thyroidectomy [J]. Arch Otolaryngol Head Neck Surg, 2002, 128(4): 389392.
34.	Hines JR, Winchester DJ. Total lobectomy and total thyroidectomy in the management of thyroid lesions [J]. Arch Surg, 1993, 128(9): 10601064.
35.	Gundry SR, Burney RE, Thompson NW, et al. Total thyroidectomy for Hürthle cell neoplasm of the thyroid [J]. Arch Surg, 1983, 118(5): 529532.
36.	Perri S, Mariani G, Trunfio A, et al. Total thyroidectomy in the surgical treatment of thyroid disease a retrospective clinical study [J]. Minerva Endocrinol, 2001, 26(2): 4151.
37.	Lal G, Ituarte P, Kebebew E, et al. Should total thyroidectomy become the preferred procedure for surgical management of Graves’ disease? [J]. Thyroid, 2005, 15(6): 569574.
38.	Serpell JW, Phan D. Safety of total thyroidectomy [J]. ANZ J Surg, 2007, 77(12): 1519.
39.	Mandel SJ, Brent GA, Larsen PR. Levothyroxine therapy in patients with thyroid disease [J]. Ann Intern Med, 1993, 119(6): 492502.
40.	Vaidya B, Pearce SH. Management of hypothyroidism in adults [J]. BMJ, 2008, 337: a801.
41.	Friedman M, Pacella BL Jr. Total versus subtotal thyroidectomy. Arguments, approaches, and recommendations [J]. Otolaryngol Clin North Am, 1990, 23(3): 413427.
42.	Halsted WS, Evans HM. I. The parathyroid glandules. Their blood supply and their preservation in operation upon the thyroid gand [J]. Ann Surg, 1907, 46(4): 489506.
43.	Thompson NW, Olsen WR, Hoffman GL. The continuing development of the technique of thyroidectomy [J]. Surgery, 1973, 73(6): 913927.
44.	吳在德, 吳肇漢. 外科學 [M]. 北京: 人民衛生出版社, 2003: 310311.
45.	Amaral JF. The experimental development of an ultrasonically activated scalpel for laparoscopic use [J]. Surg Laparosc Endosc, 1994, 4(2): 9299.
46.	Roye GD, Monchik J, Amaral JF. Endoscopic adrenalectomy using ultrasonic cutting and coagulating [J]. Surg Technol Int, 2000, 9: 129138.
47.	Takao S, Shinchi H, Maemura K. Ultrasonically activated scalpel is an effective tool for cutting the pancreas in biliarypancreatic surgery: experimental and clinical studies [J]. J Hepatobiliary Pancreat Surg, 2000, 7(1): 5862.
48.	Miccoli P, Berti P, DonatiniG, et al. Randomized controlled trial of harmonic scalpel use during thyroidectomy [J]. Arch Otolaryngol Head Neck Surg, 2006, 132(10): 10691073.
49.	Siperstein AE, Berber E, Morkoyun E. The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery [J]. Arch Surg, 2002, 137(2): 137142.
50.	Matthews B, Nalysnyk L, Estok R, et al. Ultrasonic and nonultrasonic instrumentation: a systematic review and metaanalysis [J]. Arch Surg, 2008, 143(6): 592600.
51.	Parker DJ, Krupa K, Esler R, et al. Use of the harmonic scalpel in thyroidectomy [J]. ANZ J Surg, 2009, 79(6): 476478.
52.	Foreman E, Aspinall S, Bliss RD, et al. The use of the harmonic scalpel in thyroidectomy: ‘beyond the learning curve’ [J]. Ann R Coll Surg Engl, 2009, 91(3): 214216.
53.	Koh YW, Park JH, Lee SW, et al. The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study [J]. Ann Surg, 2008, 247(6): 945949.
54.	Cordón C, Fajardo R, Ramírez J, et al. A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy [J]. Surgery, 2005, 137(3): 337341.
55.	Hallgrimsson P, Lovén L, Westerdahl J, et al. Use of the harmonic scalpel versus conventional haemostatic techniques in patients with Grave disease undergoing total thyroidectomy: a prospective randomised controlled trial [J]. Langenbecks Arch Surg, 2008, 393(5): 675680.
56.	Yildirim O, Umit T, Ebru M, et al. Ultrasonic harmonic scalpel in total thyroidectomies [J]. Adv Ther, 2008, 25(3): 260265.
57.	Sebag F, Fortanier C, Ippolito G, et al. Harmonic scalpel in multinodular goiter surgery: impact on surgery and cost analysis [J]. J Laparoendosc Adv Surg Tech A, 2009, 19(2): 171174.
58.	Manouras A, Markogiannakis HE, Kekis PB, et al. Novel hemostatic devices in thyroid surgery: electrothermal bipolar vessel sealing system and harmonic scalpel [J]. Expert Rev Med Devices, 2008, 5(4): 447466.
59.	Ortega J, Sala C, Flor B, et al. Efficacy and costeffectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial [J]. J Laparoendosc Adv Surg Tech A, 2004, 14(1): 912.
60.	Shemen L. Thyroidectomy using the harmonic scalpel: analysis of 105 consecutive cases [J]. Otolaryngol Head Neck Surg, 2002, 127(4): 284288.
61.	Voutilainen PE, Haglund CH. Ultrasonically activated shears in thyroidectomies: a randomized trial [J]. Ann Surg, 2000, 231(3): 322328.
62.	張冬坤, 郭朱明, 張詮, 等. 超聲刀在開放性甲狀腺手術中的應用 [J]. 中國耳鼻咽喉頭頸外科, 2006, 13(6): 369371.
63.	張彬, 安常明, 徐震綱, 等. 超聲刀在甲狀腺手術中的應用 [J]. 中國耳鼻咽喉頭頸外科, 2006, 13(6): 365367.
64.	Sartori PV, De Fina S, Colombo G, et al. Ligasure versus Ultracision in thyroid surgery: a prospective randomized study [J]. Langenbecks Arch Surg, 2008, 393(5): 655658.
65.	魏濤, 李志輝, 朱精強. 超聲刀與傳統方法在開放甲狀腺手術的臨床對比研究 [J].中國普外基礎與臨床雜志, 2008, 15(5): 323326.
66.	Kiriakopoulos A, Dimitrios T, Dimitrios L. Use of a diathermy system in thyroid surgery [J]. Arch Surg, 2004, 139(9): 9971000.
67.	Saint Marc O, Cogliandolo A, Piquard A, et al. LigaSure vs clampandtie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study [J]. Arch Surg, 2007, 142(2): 150157.
68.	Pons Y, Gauthier J, UkkolaPons E, et al. Comparison of LigaSure vessel sealing system, harmonic scalpel, and conventional hemostasis in total thyroidectomy [J]. Otolaryngol Head Neck Surg, 2009, 141(4): 496501.
69.	Manouras A, Markogiannakis H, Koutras AS, et al. Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, harmonic scalpel, and classic suture ligation [J]. Am J Surg, 2008, 195(1): 4852.
70.	Dujovny M, Dujovny N, Gundamraj NR, et al. Bipolar coagulation in neurosurgery [J]. Surg Neurol, 1998, 49(3): 328332.

1. Enewold L, Zhu K, Ron E, et al. Rising thyroid cancer incidence in the United States by demographic and tumor characteristics, 19802005 [J]. Cancer Epidemiol Biomarkers Prev, 2009, 18(3): 784791.
2. Burgess JR, Tucker P. Incidence trends for papillary thyroid carcinoma and their correlation with thyroid surgery and thyroid fineneedle aspirate cytology [J]. Thyroid, 2006, 16(1): 4753.
3. Colonna M, Guizard AV, Schvartz C, et al. A time trend analysis of papillary and follicular cancers as a function of tumour size: a study of data from six cancer registries in France (19832000) [J]. Eur J Cancer, 2007, 43(3): 891900.
4. Davies L, Welch HG. Increasing incidence of thyroid cancer in the United States, 19732002 [J]. JAMA, 2006, 295(18): 21642167.
5. Leenhardt L, Grosclaude P, ChériéChalline L. Increased incidence of thyroid carcinoma in France: a true epidemic or thyroid nodule management effects? Report from the French Thyroid Cancer Committee [J].Thyroid, 2004, 14(12): 10561060.
6. Liu S, Semenciw R, Ugnat AM, et al. Increasing thyroid cancer incidence in Canada, 19701996: time trends and ageperiodcohort effects [J]. Br J Cancer 2001, 85(9): 13351339.
7. Lubina A, Cohen O, Barchana M, et al. Time trends of incidence rates of thyroid cancer in Israel: what might explain the sharp increase [J].Thyroid, 2006, 16(10): 10331040.
8. Reynolds RM, Weir J, Stockton DL, et al. Changing trends in incidence and mortality of thyroid cancer in Scotland [J]. Clin Endocrinol(Oxf), 2005, 62(2):156162.
9. Smailyte G, MiseikyteKaubriene E, Kurtinaitis J. Increasing thyroid cancer incidence in Lithuania in 19782003 [J]. BMC Cancer, 2006, 6: 284.
10. AlboresSaavedra J, Henson DE, Glazer E, et al. Changing patterns in the incidence and survival of thyroid cancer with follicular phenotype－papillary, follicular, and anaplastic: a morphological and epidemiological study [J]. Endocr Pathol, 2007, 18(1): 17.
11. Bilimoria KY, Bentrem DJ, Linn JG, et al. Utilization of total thyroidectomy for papillary thyroid cancer in the United States [J]. Surgery, 2007, 142(6): 906913.
12. Mazzaferri EL, Massoll N. Management of papillary and follicular (differentiated) thyroid cancer: new paradigms using recombinant human thyrotropin [J]. Endocr Relat Cancer, 2002, 9(4): 227247.
13. Shrime MG, Goldstein DP, Seaberg RM, et al. Costeffective management of lowrisk papillary thyroid carcinoma [J]. Arch Otolaryngol Head Neck Surg, 2007, 133(12): 12451253.
14. Rosenbaum MA, McHenry CR. Central neck dissection for papillary thyroid cancer [J]. Arch Otolaryngol Head Neck Surg, 2009, 135(11): 10921097.
15. Duh QY, Sancho JJ, Greenspan FS, et al. Medullary thyroid carcinoma. The need for early diagnosis and total thyroidectomy [J]. Arch Surg, 1989, 124(10): 12061210.
16. Sippel RS, Kunnimalaiyaan M, Chen H. Current management of medullary thyroid cancer [J]. Oncologist, 2008, 13(5): 539547.
17. Veyseller B, Aksoy F, Demirhan H, et al. Total thyroidectomy in benign thyroid diseases [J]. Kulak Burun Bogaz Ihtis Derg, 2009, 19(6): 299303.
18. Barakate MS, Agarwal G, Reeve TS, et al. Total thyroidectomy is now the preferred option for the surgical management of Graves’ disease [J]. ANZ J Surg, 2002, 72(5): 321324.
19. Friguglietti CU, Lin CS, Kulcsar MA. Total thyroidectomy for benign thyroid disease [J]. Laryngoscope, 2003, 113(10): 18201826.
20. Yang W, Shao T, Ding J, et al. The feasibility of total or neartotal bilateral thyroidectomy for the treatment of bilateral multinodular goiter [J]. J Invest Surg, 2009, 22(3): 195200.
21. Hussain M, Hisham AN. Total thyroidectomy: the procedure of choice for toxic goiter [J]. Asian J Surg, 2008, 31(2): 5962.
22. Colak T, Akca T, Kanik A, et al. Total versus subtotal thyroidectomy for the management of benign multinodular goiter in an endemic region [J]. ANZ J Surg, 2004, 74(11): 974978.
23. Chiang FY, Lin JC, Wu CW, et al. Morbidity after total thyroidectomy for benign thyroid disease: comparison of Graves’ disease and nonGraves’ disease [J]. Kaohsiung J Med Sci, 2006, 22(11): 554559.
24. Ayache S, Tramier B, Chatelain D, et al. Evolution of the thyroid surgical treatment to the total thyroidectomy. Study of about 735 patients [J]. Ann Otolaryngol Chir Cervicofac, 2005, 122(3): 127133.
25. Ku CF, Lo CY, Chan WF, et al. Total thyroidectomy replaces subtotal thyroidectomy as the preferred surgical treatment for Graves’ disease [J]. ANZ J Surg, 2005, 75(7): 528531.
26. Vaiman M, Nagibin A, Hagag P, et al. Subtotal and near total versus total thyroidectomy for the management of multinodular goiter [J]. World J Surg, 2008, 32(7): 15461551.
27. Agarwal G, Aggarwal V. Is total thyroidectomy the surgical procedure of choice for benign multinodular goiter? An evidencebased review [J].World J Surg, 2008, 32(7): 13131324.
28. Acun Z, Comert M, Cihan A, et al. Neartotal thyroidectomy could be the best treatment for thyroid disease in endemic regions [J]. Arch Surg, 2004, 139(4): 444447.
29. Erbil Y, Barbaros U, Salmaslioˇglu A, et al. The advantage of neartotal thyroidectomy to avoid postoperative hypoparathyroidism in benign multinodular goiter [J]. Langenbecks Arch Surg, 2006, 391(6): 567573.
30. Unalp HR, Erbil Y, Akguner T, et al. Does near total thyroidectomy offer advantage over total thyroidectomy in terms of postoperative hypocalcemia? [J]. Int J Surg, 2009, 7(2): 120125.
31. Tezelman S, Borucu I, Senyurek Giles Y, et al. The change in surgical practice from subtotal to neartotal or total thyroidectomy in the treatment of patients with benign multinodular goiter [J]. World J Surg, 2009, 33(3): 400405.
32. Efremidou EI, Papageorgiou MS, Liratzopoulos N, et al. The efficacy and safety of total thyroidectomy in the management of benign thyroid disease: a review of 932 cases [J]. Can J Surg, 2009, 52(1): 3944.
33. Bhattacharyya N, Fried MP. Assessment of the morbidity and complications of total thyroidectomy [J]. Arch Otolaryngol Head Neck Surg, 2002, 128(4): 389392.
34. Hines JR, Winchester DJ. Total lobectomy and total thyroidectomy in the management of thyroid lesions [J]. Arch Surg, 1993, 128(9): 10601064.
35. Gundry SR, Burney RE, Thompson NW, et al. Total thyroidectomy for Hürthle cell neoplasm of the thyroid [J]. Arch Surg, 1983, 118(5): 529532.
36. Perri S, Mariani G, Trunfio A, et al. Total thyroidectomy in the surgical treatment of thyroid disease a retrospective clinical study [J]. Minerva Endocrinol, 2001, 26(2): 4151.
37. Lal G, Ituarte P, Kebebew E, et al. Should total thyroidectomy become the preferred procedure for surgical management of Graves’ disease? [J]. Thyroid, 2005, 15(6): 569574.
38. Serpell JW, Phan D. Safety of total thyroidectomy [J]. ANZ J Surg, 2007, 77(12): 1519.
39. Mandel SJ, Brent GA, Larsen PR. Levothyroxine therapy in patients with thyroid disease [J]. Ann Intern Med, 1993, 119(6): 492502.
40. Vaidya B, Pearce SH. Management of hypothyroidism in adults [J]. BMJ, 2008, 337: a801.
41. Friedman M, Pacella BL Jr. Total versus subtotal thyroidectomy. Arguments, approaches, and recommendations [J]. Otolaryngol Clin North Am, 1990, 23(3): 413427.
42. Halsted WS, Evans HM. I. The parathyroid glandules. Their blood supply and their preservation in operation upon the thyroid gand [J]. Ann Surg, 1907, 46(4): 489506.
43. Thompson NW, Olsen WR, Hoffman GL. The continuing development of the technique of thyroidectomy [J]. Surgery, 1973, 73(6): 913927.
44. 吳在德, 吳肇漢. 外科學 [M]. 北京: 人民衛生出版社, 2003: 310311.
45. Amaral JF. The experimental development of an ultrasonically activated scalpel for laparoscopic use [J]. Surg Laparosc Endosc, 1994, 4(2): 9299.
46. Roye GD, Monchik J, Amaral JF. Endoscopic adrenalectomy using ultrasonic cutting and coagulating [J]. Surg Technol Int, 2000, 9: 129138.
47. Takao S, Shinchi H, Maemura K. Ultrasonically activated scalpel is an effective tool for cutting the pancreas in biliarypancreatic surgery: experimental and clinical studies [J]. J Hepatobiliary Pancreat Surg, 2000, 7(1): 5862.
48. Miccoli P, Berti P, DonatiniG, et al. Randomized controlled trial of harmonic scalpel use during thyroidectomy [J]. Arch Otolaryngol Head Neck Surg, 2006, 132(10): 10691073.
49. Siperstein AE, Berber E, Morkoyun E. The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery [J]. Arch Surg, 2002, 137(2): 137142.
50. Matthews B, Nalysnyk L, Estok R, et al. Ultrasonic and nonultrasonic instrumentation: a systematic review and metaanalysis [J]. Arch Surg, 2008, 143(6): 592600.
51. Parker DJ, Krupa K, Esler R, et al. Use of the harmonic scalpel in thyroidectomy [J]. ANZ J Surg, 2009, 79(6): 476478.
52. Foreman E, Aspinall S, Bliss RD, et al. The use of the harmonic scalpel in thyroidectomy: ‘beyond the learning curve’ [J]. Ann R Coll Surg Engl, 2009, 91(3): 214216.
53. Koh YW, Park JH, Lee SW, et al. The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study [J]. Ann Surg, 2008, 247(6): 945949.
54. Cordón C, Fajardo R, Ramírez J, et al. A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy [J]. Surgery, 2005, 137(3): 337341.
55. Hallgrimsson P, Lovén L, Westerdahl J, et al. Use of the harmonic scalpel versus conventional haemostatic techniques in patients with Grave disease undergoing total thyroidectomy: a prospective randomised controlled trial [J]. Langenbecks Arch Surg, 2008, 393(5): 675680.
56. Yildirim O, Umit T, Ebru M, et al. Ultrasonic harmonic scalpel in total thyroidectomies [J]. Adv Ther, 2008, 25(3): 260265.
57. Sebag F, Fortanier C, Ippolito G, et al. Harmonic scalpel in multinodular goiter surgery: impact on surgery and cost analysis [J]. J Laparoendosc Adv Surg Tech A, 2009, 19(2): 171174.
58. Manouras A, Markogiannakis HE, Kekis PB, et al. Novel hemostatic devices in thyroid surgery: electrothermal bipolar vessel sealing system and harmonic scalpel [J]. Expert Rev Med Devices, 2008, 5(4): 447466.
59. Ortega J, Sala C, Flor B, et al. Efficacy and costeffectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial [J]. J Laparoendosc Adv Surg Tech A, 2004, 14(1): 912.
60. Shemen L. Thyroidectomy using the harmonic scalpel: analysis of 105 consecutive cases [J]. Otolaryngol Head Neck Surg, 2002, 127(4): 284288.
61. Voutilainen PE, Haglund CH. Ultrasonically activated shears in thyroidectomies: a randomized trial [J]. Ann Surg, 2000, 231(3): 322328.
62. 張冬坤, 郭朱明, 張詮, 等. 超聲刀在開放性甲狀腺手術中的應用 [J]. 中國耳鼻咽喉頭頸外科, 2006, 13(6): 369371.
63. 張彬, 安常明, 徐震綱, 等. 超聲刀在甲狀腺手術中的應用 [J]. 中國耳鼻咽喉頭頸外科, 2006, 13(6): 365367.
64. Sartori PV, De Fina S, Colombo G, et al. Ligasure versus Ultracision in thyroid surgery: a prospective randomized study [J]. Langenbecks Arch Surg, 2008, 393(5): 655658.
65. 魏濤, 李志輝, 朱精強. 超聲刀與傳統方法在開放甲狀腺手術的臨床對比研究 [J].中國普外基礎與臨床雜志, 2008, 15(5): 323326.
66. Kiriakopoulos A, Dimitrios T, Dimitrios L. Use of a diathermy system in thyroid surgery [J]. Arch Surg, 2004, 139(9): 9971000.
67. Saint Marc O, Cogliandolo A, Piquard A, et al. LigaSure vs clampandtie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study [J]. Arch Surg, 2007, 142(2): 150157.
68. Pons Y, Gauthier J, UkkolaPons E, et al. Comparison of LigaSure vessel sealing system, harmonic scalpel, and conventional hemostasis in total thyroidectomy [J]. Otolaryngol Head Neck Surg, 2009, 141(4): 496501.
69. Manouras A, Markogiannakis H, Koutras AS, et al. Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, harmonic scalpel, and classic suture ligation [J]. Am J Surg, 2008, 195(1): 4852.
70. Dujovny M, Dujovny N, Gundamraj NR, et al. Bipolar coagulation in neurosurgery [J]. Surg Neurol, 1998, 49(3): 328332.

《中國普外基礎與臨床雜志》

甲狀腺手術理念進展與新型手術器械在甲狀腺外科中的應用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

《中國普外基礎與臨床雜志》

甲狀腺手術理念進展與新型手術器械在甲狀腺外科中的應用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料