Application of endoscope assisted supraclavicular thyroidectomy and lymph node dissection
10.3760/cma.j.cn.115807-20220427-00102
- VernacularTitle:腔镜辅助肌间入路单侧甲状腺癌根治术加颈侧区淋巴结清扫术的应用
- Author:
Yuxin ZHOU
1
;
Weizhu WU
Author Information
1. 宁波大学医学院，宁波 315000
- Keywords:
Thyroid carcinoma;
Papillary thyroid carcinoma;
Sternocleidomastoid intermuscular approach;
Thyroidectomy;
Lateral cervical lymph node dissection;
Endoscop
- From:
Chinese Journal of Endocrine Surgery
2022;16(5):568-572
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical efficacy of endoscope assisted supraclavicular thyroidectomy and lymph node dissection through the sternocleidomastoid muscular approach (ELDS) .Methods:Clinical data of 40 patients undergoing ELDS and 40 patients who had open surgery (open group) by same team admitted to Ningbo Medical Center Lihuili Hospital from Jan. 2021 to Jan. 2022 were retrospectively analyzed. The intraoperative and postoperative outcomes and follow-up were observed situation. The intraoperative situation, the number of lymph nodes dissected, postoperative outcomes and scar healing satisfaction were observed. SPSS 20.0 software was employed to carry out statistical analysis, the measurement date were compared with t-test, and the counting date were analyzed by χ2 test. Results:There was no significant differences in the two groups with respect to the number of lymph nodes dissected (ELDS group: 30.5±9.8, open group: 29.9±9.0) . The surgical injury in ELDS group were significantly smaller than those in open group, and the operation time was significantly higher in open group (ELDS group: 95.2±12.0min, open group: 82.3±13.9min, P<0.05) . In postoperative follow-up, there were significant differences between the two groups in swallowing impairment, anterior cervical pressure and scar satisfaction (ELDS group: 4.45±1.82, open group: 6.03±1.47, P<0.05) , and the lateral approach group was superior to open group, but there were no significant differences in parathyroidism or recurrent laryngeal nerve injury ( P>0.05) . Conclusions:ELDS has the advantages of good cosmetic effect, less postoperative anterior cervical discomfort, less postoperative complications, and good lymph node dissection effect. The operation is safe and feasible, and has obvious advantages over traditional operation.
