Preliminary study of endoscopic thyroid surgery by inflatable subclavian approach
10.3760/cma.j.cn115807-20250216-00050
- VernacularTitle:充气式经锁骨下入路腔镜甲状腺手术初探
- Author:
Yuanyuan WANG
1
;
Qiangbin DING
;
Wei YAN
;
Wei DING
;
Huichan HUANG
;
Yaying LU
;
Guoyang WU
Author Information
1. 郑州大学第一附属医院甲状腺外二科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Thyroid cancer;
Endoscope;
Subclavicular;
Inflatable
- From:
Chinese Journal of Endocrine Surgery
2025;19(4):497-502
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety, feasibility, and efficacy of pneumoperitoneum-assisted laparoscopic thyroidectomy via the subclavian approach (PSTSA) .Methods:Retrospective analysis of the clinical data of 24 papillary thyroid carcinoma (PTC) patients who underwent PSTSA,from Nov. 1,2024 to Dec. 31,2024 in Zhongshan Hospital of Xiamen University was performed. Data including the maximum tumor diameter,surgical duration,volume of drainage fluid,number of lymph nodes cleared,postoperative complications,cosmetic outcomes, and total hospitalization time were recorded.Results:All 24 cases were preoperatively diagnosed with PTC, with 12 female and 12 male patients.All cases were successfully completed without conversion to open surgery.The maximum tumor diameter in the pathological sections was 0.51±0.21 cm,the surgical duration was 71.54±11.62 minutes, the number of central compartment lymph nodes retrieved was 6.29±2.82 units,and the number of positive lymph nodes was 0.46±0.93.No CO2 gas embolism occurred during the surgery,and no postoperative complications such as hoarseness,numbness of hands and feet,or postoperative bleeding were observed.Conclusions:Pneumoperitoneum-assisted laparoscopic thyroidectomy via the subclavian approach (pneumoperitoneum-assisted laparoscopic thyroidectomy via the subclavian approach, PSTSA) is a safe and feasible surgical method for thyroidectomy.
