Clinical analysis of gasless transoral endoscopic thyroidectomy via oral vestibular approach for papillary thyroid carcinoma
10.3760/cma.j.cn113855-20220410-00236
- VernacularTitle:经口腔前庭入路非充气腔镜甲状腺乳头状癌手术的安全性及可行性研究
- Author:
Gaofei HE
1
;
Lei XIE
;
Jinxi JIANG
;
Junjie CHU
;
Jianbo LI
;
Xiaoxiao LU
;
Deguang ZHANG
Author Information
1. 浙江大学医学院附属邵逸夫医院头颈外科，杭州 310016
- Keywords:
Thyroid neoplasms;
Thyroidectomy;
Endoscopy
- From:
Chinese Journal of General Surgery
2023;38(3):173-177
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the safety and feasibility of gasless transoral endoscopic thyroidectomy though vestibular approach using self-retaining retractor for papillary thyroid carcinoma.Methods:The clinical data of 39 papillary thyroid carcinoma patients undergoing gasless transoral endoscopic thyroidectomy were collected at Department of Head and Neck Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine from Nov 2020 to Jun 2021.Results:All cases successfully underwent laparoscopic surgery without conversion to open surgery. The mean duration of operation was (142±35) min, and the postoperative mean hospital stay was (4.1±0.8) days. The mean maximum diameter of the tumor was (8.5±4.5) mm, and the mean number of lymph node harvest of by central compartment dissection was 7.7±5.9. Postoperative complications were transient hypoparathyroidism in 2 cases but recovered in 1 month. Scalp hydrop in 1 patient,fading subsequently. Transient sensory change around the lower lip in 3 cases, which recovered in 6 months. No patient suffered from recurrent laryngeal nerve palsy or hematoma, no permanent hypoparathyroidism occurred, nor of the postoperative bleeding .Conclusion:The gasless transoral endoscopic thyroidectomy viaoral vestibular approach is a feasible approach in selected papillary thyroid carcinoma patients.
