腹腔镜袖状胃切除术+经口腔前庭腔镜甲状腺癌根治术治疗重度肥胖合并双侧甲状腺癌一例报道

doi:10.3877/cma.j.issn.2095-9605.2022.03.012

中华肥胖与代谢病电子杂志 ›› 2022, Vol. 08 ›› Issue (03) : 214 -216. doi: 10.3877/cma.j.issn.2095-9605.2022.03.012

病例报告

腹腔镜袖状胃切除术+经口腔前庭腔镜甲状腺癌根治术治疗重度肥胖合并双侧甲状腺癌一例报道

李良辉¹^,^†(

), 吴国洋¹, 卢毅卓¹, 林福生¹, 陈丽娟¹, 陈小敏², 梁成强³

^1. 361004　厦门，厦门大学附属中山医院普外科
^2. 361004　厦门，厦门大学附属中山医院内分泌科
^3. 361004　厦门，厦门大学附属中山医院营养科

收稿日期:2022-02-09 出版日期:2022-08-30
通信作者: 李良辉

Treatment of one case of severe obesity complicated with bilateral thyroid cancer by laparoscopic sleeve gastrectomy and oral vestibular endoscopic radical resection of bilateral thyroid cancer

Lianghui Li¹^,^†(), Guoyang Wu¹, Yizhuo Lu¹, Fusheng Lin¹, Lijuan Chen¹, Xiaomin Chen², Chengqiang Liang³

^1. Department of General Surgery, Zhongshan Hospital, Xiamen University, Xiamen 361004, China
^2. Department of Endocrinology, Zhongshan Hospital, Xiamen University, Xiamen 361004, China
^3. Department of Nutrition, Zhongshan Hospital, Xiamen University, Xiamen 361004, China

Received:2022-02-09 Published:2022-08-30
Corresponding author: Lianghui Li

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李良辉, 吴国洋, 卢毅卓, 林福生, 陈丽娟, 陈小敏, 梁成强. 腹腔镜袖状胃切除术+经口腔前庭腔镜甲状腺癌根治术治疗重度肥胖合并双侧甲状腺癌一例报道[J]. 中华肥胖与代谢病电子杂志, 2022, 08(03): 214-216.

Lianghui Li, Guoyang Wu, Yizhuo Lu, Fusheng Lin, Lijuan Chen, Xiaomin Chen, Chengqiang Liang. Treatment of one case of severe obesity complicated with bilateral thyroid cancer by laparoscopic sleeve gastrectomy and oral vestibular endoscopic radical resection of bilateral thyroid cancer[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2022, 08(03): 214-216.

中、重度肥胖合并甲状腺癌在临床并不少见，就诊者多为20~40岁。这两种疾病均需手术治疗，但肥胖及其合并症会给麻醉和手术带来一定的风险。因此，对于此类患者如何施行安全、有效的外科治疗并满足其对美观的需求是值得研究的问题。我院普外科根据一重度肥胖（BMI 45.3 kg/m²）合并双侧甲状腺癌的29岁患者自身情况，在多学科团队的协助下为其成功施行腹腔镜袖状胃切除术+经口腔前庭腔镜双侧甲状腺癌根治术，取得满意的疗效。

关键词: 肥胖症, 甲状腺癌, 袖状胃切除术, 腔镜甲状腺癌根治术, 经口腔前庭入路

Moderate and severe obesity complicated with thyroid cancer is not uncommon in clinic, and most of the patients are 20-40 years old. Both diseases need surgical treatment, but obesity and itscomplications will pose risks to anesthesia and surgery. Therefore, it is worth studying how to implement safeand effective surgical treatment for such patients and meet their aesthetic needs. According to the situationof a 29 years old patient with severe obesity (BMI 45.3 kg/m²) complicated with bilateral thyroid cancer, the general surgery department of our hospital successfully implemented laparoscopic sleeve gastrectomy andoral vestibularendoscopic radical resection of bilateral thyroid cancer with the assistance of a multidisciplinary team, and achieved satisfactory therapeutic results.

Key words: Obesity, Thyroid cancer, Sleeve gastrectomy, Endoscopic radical resection of thyroid cancer, Oral vestibular

图1 患者手术体位

图2 袖状胃切除标本

图3 右甲状腺叶切除及右中央区淋巴结清扫后示意图

图4 左甲状腺切除及左中央区淋巴结清扫后示意图

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Treatment of one case of severe obesity complicated with bilateral thyroid cancer by laparoscopic sleeve gastrectomy and oral vestibular endoscopic radical resection of bilateral thyroid cancer

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Treatment of one case of severe obesity complicated with bilateral thyroid cancer by laparoscopic sleeve gastrectomy and oral vestibular endoscopic radical resection of bilateral thyroid cancer