Analysis of Curative Effect and Cosmetic Effect of Endoscopic Thyroidectomy Through Subclavian Single Incision in Patients with Thyroid Cancer
10.3870/j.issn.1672-0741.24.09.017
- VernacularTitle:锁骨下单切口入路腔镜甲状腺手术对甲状腺癌患者的疗效及美容效果分析
- Author:
Ji'nan LI
1
;
Shuzhen LIU
1
;
Peng LI
1
Author Information
1. 锦州医科大学附属第一医院普外科,锦州 121000
- Publication Type:Journal Article
- Keywords:
thyroid cancer;
endoscopic thyroid surgery;
subclavicular incision approach;
therapeutic effect;
cos-metic effect
- From:
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
2025;54(4):566-570
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of endoscopic thyroidectomy via subclavian single incision in treatment of pa-tients with thyroid cancer.Methods In this study,132 thyroid cancer patients who underwent thyroid surgery at the First Affil-iated Hospital of Jinzhou Medical University from July 2022 to June 2024 were selected.Based on the surgical approach,the pa-tients weredivided into Group A(traditionalanterior neck approach open surgery,68 cases)and Group B(subclavicular single-in-cision laparoscopic surgery,64 cases).The surgical-related indicators,pain levels,thyroid function,incision cosmetic satisfac-tion,and postoperativecomplications werecompared between the two groups.Results The surgery time in Group B was longer than that in Group A,but the intraoperative blood loss in Group B was lower than that in Group A,and the postoperative drain-age volume in Group B was higher than in Group A(all P＜0.05).There was no significant difference in the drainage tube re-moval time and hospitalization duration between the two groups(all P＞0.05).The VAS scores at 3 days,7 days,and 1 month after surgery were all lower in Group B than in Group A(all P＜0.05).Thelevels of TSH,FT3,and FT4 at3 days post-surgery were higher in Group B than in Group A(all P＜0.05).At 3 months post-surgery,the cosmetic satisfaction with the incision in Group B was higher than in Group A(χ2=10.534,P=0.001).There was no significant difference in the overall incidence of postoperative complications between the two groups(χ2=0.706,P=0.401).Conclusion Endoscopic thyroidectomy via subcla-vian single incision is safe and reliable,with less blood loss,less postoperative pain,less influence on thyroid function and high cosmetic satisfaction.
