Posterior sternocleidomastoid border approach of gasless transaxillary endoscopic thyroidectomy in patients with papillary thyroid carcinoma: comparison with sternocleidomastoid fascia approach
10.3760/cma.j.cn112139-20200817-00651
- VernacularTitle:无充气经腋完全腔镜下胸锁乳突肌后缘与胸锁乳突肌间隙入路治疗甲状腺乳头状癌的比较
- Author:
Yuqiu ZHOU
1
;
Chao LI
;
Yongcong CAI
;
Jian JIANG
;
Ronghao SUN
;
Dingfen ZENG
;
Wanghu ZHENG
;
Wei WANG
Author Information
1. 四川省肿瘤医院 四川省肿瘤研究所 四川省癌症防治中心 电子科技大学医学院附属肿瘤医院头颈外科，成都 610041
- Keywords:
Thyroid neoplasms;
Thyroidectomy;
Laparoscopy
- From:
Chinese Journal of Surgery
2021;59(8):686-690
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the posterior sternocleidomastoid border approach which elevated whole sternocleidomastoid in gasless transaxillary endoscopic thyroidectomy.Methods:The clinical data of 46 patients with papillary thyroid carcinoma treated with gasless transaxillary endoscopic thyroidectomy from May 2019 to June 2020 at Department of Head and Neck Surgery, Sichuan Cancer Hospital was analyzed retrospectively. There were 9 males and 37 females, aged (38.6±12.0) years (range: 19 to 74 years). Fourteen and 32 cases performed posterior sternocleidomastoid border and sternocleidomastoid fascia approach, respectively. Comparative analysis were performed on clinical characters, surgical outcomes, postoperative complications, postoperative pain score, and quality-of-life of postoperative 1 month by t test, Wilcoxon rank sum test, Fisher exact test and χ 2 test,respectively. Resuts Complete exposure of central compartment was higher (11/14 vs. 34.4%(11/32),χ2=7.624, P=0.006), more lymph nodes was retrieved (4.2±2.9 vs. 2.0±2.5, t=2.663, P=0.011) in posterior sternocleidomastoid border approach. There were no significant differences between groups in postoperative complications such as recurrent laryngeal nerve palsy (1/14 vs. 3.1%(1/32), P=0.521) and transient hypoparathyroidism (0 vs. 6.2%(2/32), P=1) and pains and quality-of-life. Conclusion:Posterior sternocleidomastoid border approach of gasless transaxillary endoscopic thyroidectomy is safe and reliable and has the advantage of central compartment dissection without increasing trauma.
