Teng Stephanie E, Paul Benjamin C, Brumm John D, Fritz Mark, Fang Yixin, Myssiorek David
Department of Otolaryngology.
School of Medicine.
Laryngoscope. 2016 Jun;126(6):1339-42. doi: 10.1002/lary.25711. Epub 2015 Oct 15.
OBJECTIVES/HYPOTHESIS: The purpose of this study is to describe an endoscope-assisted surgical technique for the excision of branchial cleft cysts and compare it to the standard approach.
Retrospective case series review.
Twenty-seven cases described as branchial cleft excisions performed by a single surgeon at one academic medical center were identified between 2007 and 2014. Twenty-five cases (8 endoscopic, 17 standard approach) were included in the study. Cases were excluded if final pathology was malignant. Patient charts were reviewed, and two techniques were compared through analysis of incision size, operative time, and surgical outcomes.
This study showed that the length of incision required for the endoscopic approach (mean = 2.13 ± 0.23) was significantly less than that of the standard approach (mean = 4.10 ± 1.46, P = 0.008) despite the fact that there was no significant difference in cyst size between the two groups (P = 0.09). The other variables examined, including operative time and surgical outcomes, were not significantly different between the two groups.
This transcervical endoscope-assisted approach to branchial cleft cyst excision is a viable option for uncomplicated cases. It provides better cosmetic results than the standard approach and does not negatively affect outcomes, increase operative time, or result in recurrence.
目的/假设：本研究旨在描述一种用于切除鳃裂囊肿的内镜辅助手术技术，并将其与标准方法进行比较。
回顾性病例系列研究。
在2007年至2014年间，确定了由一名外科医生在一家学术医疗中心进行的27例被描述为鳃裂切除术的病例。本研究纳入了25例（8例内镜手术，17例标准手术）。如果最终病理结果为恶性，则排除这些病例。查阅患者病历，并通过分析切口大小、手术时间和手术结果对两种技术进行比较。
本研究表明，尽管两组囊肿大小无显著差异（P = 0.09），但内镜手术所需的切口长度（平均 = 2.13 ± 0.23）明显短于标准手术（平均 = 4.10 ± 1.46，P = 0.008）。所检查的其他变量，包括手术时间和手术结果，在两组之间无显著差异。
这种经颈内镜辅助的鳃裂囊肿切除术对于不复杂的病例是一种可行的选择。它比标准方法提供了更好的美容效果，并且不会对结果产生负面影响、增加手术时间或导致复发。
4。《喉镜》，126:1339 - 1342，2016年。
