Preliminary experience of endoscopic bilateral thyroid surgery through gasless axillary approach
10.3760/cma.j.cn.115807-20220126-00023
- VernacularTitle:无充气腋窝入路腔镜下双侧甲状腺手术初步体会
- Author:
Dongning LU
1
;
Jiajie XU
;
Haiwei GUO
;
Chuanming ZHENG
;
Minghua GE
Author Information
1. 浙江中医药大学第二临床医学院，杭州 310053
- Keywords:
Thyroidectomy;
Endoscopic thyroidectomy;
Axillary approach;
Thyroid carcinoma
- From:
Chinese Journal of Endocrine Surgery
2022;16(4):401-405
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and safety of endoscopic thyroidectomy by gasless unilateral axillary approach.Methods:A matching study was conducted to analyze 21 patients with etgua of Zhejiang Provincial People’s Hospital from Mar. 2019 to Sep. 2021, including 8 cases of bilateral radical thyroidectomy and 13 cases of unilateral radical thyroidectomy + contralateral lobectomy (benign) . At the same time, 23 patients who underwent conventional thyroidectomy were matched as controls, including 8 cases of bilateral radical thyroidectomy and 15 cases of unilateral radical thyroidectomy + contralateral lobectomy (benign) . The operation process was recorded, and the differences in operation safety, postoperative recovery and incision satisfaction between endoscopic group and open group were compared.Results:The operation time in the endoscopy group was longer than that in the open group. The postoperative drainage volume in the endoscopy group was larger than that in the open group. There was no significant difference in the amount of intraoperative bleeding, postoperative stay in hospital or the incidence of complications. The neck pain scores in the endoscopic group were lowter than those in the open group. In terms of postoperative cosmetic satisfaction, the endoscopic group was higher than the open group.Conclusion:Endoscopic bilateral thyroidectomy by gasless unilateral axillary approach is a safe and effective surgical method, and has high cosmetic satisfaction.
