经前庭入路的 4 孔经口内镜甲状腺切除术：一种新的技术。
Transoral Endoscopic Thyroidectomy via Vestibular Approach With 4 Trocars: A New Technique.
机构信息
Department of Head and Neck Surgery, Vietnam National Cancer Hospital, Hanoi, Vietnam.
Hanoi Medical University, Hanoi, Vietnam.
出版信息
Ear Nose Throat J. 2022 Mar;101(3):170-174. doi: 10.1177/0145561320943358. Epub 2020 Aug 14.
OBJECTIVES
The objective of this study was to report the feasibility and safety of a novel 4-trocar approach for transoral endoscopic thyroidectomy via the vestibular.
METHODS
In this study, we first used 4 trocars via vestibular area to perform transoral endoscopic thyroidectomy. We reported the safety and surgical feasibility of transoral endoscopic thyroidectomy using a 4-trocar technique in our institute from February 1, 2020, to May 10, 2020.
RESULTS
Transoral endoscopic thyroidectomy via the vestibular approach using 4 trocars was carried out in 5 patients. No complications such as bleeding, mental nerve injury, recurrent laryngeal nerve injury, or hypoparathyroidism were reported. All patients were completely satisfied with the cosmetic results.
CONCLUSIONS
Transoral endoscopic thyroidectomy with 4 trocars via vestibular approach is an effective and feasible method. Markedly, this technique can assist surgeons to expose and preserve both parathyroid glands and recurrent laryngeal nerve easily when performing transoral endoscopic thyroidectomy.
目的
本研究旨在报告经前庭入路使用 4 个套管针进行经口内镜甲状腺切除术的可行性和安全性。
方法
本研究中，我们首先使用 4 个前庭套管针进行经口内镜甲状腺切除术。我们报告了 2020 年 2 月 1 日至 2020 年 5 月 10 日期间我院采用 4 套管技术行经口内镜甲状腺切除术的安全性和手术可行性。
结果
经前庭入路使用 4 个套管针进行经口内镜甲状腺切除术在 5 例患者中完成。无出血、喉上神经损伤、喉返神经损伤或甲状旁腺功能减退等并发症发生。所有患者均对美容效果完全满意。
结论
经前庭入路使用 4 个套管针的经口内镜甲状腺切除术是一种有效且可行的方法。值得注意的是，该技术可帮助外科医生在进行经口内镜甲状腺切除术时轻松暴露和保护甲状旁腺和喉返神经。
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