Evaluation of the Effect of Mesorectal Excision in Transaxillary Endoscopic Thyroidectomy for Papillary Thyroid Carcinoma
10.3969/j.issn.1009-6604.2024.01.003
- VernacularTitle:甲状腺系膜切除在经腋窝腔镜甲状腺乳头状癌手术中的应用效果评价
- Author:
Yan LIU
1
;
Xinbao GAO
;
Mingling WANG
;
Hao LI
;
Gaolei JIA
Author Information
1. 徐州市中心医院 徐州医科大学徐州临床学院血甲疝微创外科,徐州 221009
- Keywords:
Endoscopic surgery;
Mesorectal excision;
Axillary;
Thyroid
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(1):13-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effect of mesorectal excision in gasless transaxillary endoscopic thyroidectomy.Methods Clinical data of 75 patients who underwent gasless unilateral transaxillary endoscopic thyroidectomy from May 2020 to November 2022 were retrospectively analyzed.A total of 40 cases were treated with mesorectal excision(observation group),and 35 cases were treated with thyroid resection followed with central lymph node resection(control group).The operation time,intraoperative blood loss,postoperative hospital stay,number of lymph nodes dissected,and postoperative complications were compared between the two groups.Results All the patients successfully completed the operation.As compared with the control group,the observation group had shorter operation time[(91.8±19.7)min vs.(110.4±19.3)min,t =-4.133,P =0.000]and more lymph nodes dissected[(6.5±2.5)vs.(4.6±2.0),t = 3.610,P = 0.001].There were no statistically significant differences between the two groups in the amount of intraoperative bleeding,recurrent laryngeal nerve injury,and the postoperative hospital stay.There was no hypoparathyroidism,postoperative bleeding,or wound infection in both groups.Conclusion Mesorectal excision is safe and feasible in endoscopic thyroidectomy via axillary approach,with more thorough lymph node dissection in the central region and better protection of recurrent laryngeal nerve.
