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“弹性拉伸腔隙构建”系统在巨大甲状腺肿瘤内镜甲状腺切除术中的应用

"Elastic Stretch Cavity Building" System in Endoscopic Thyroidectomy of Giant Thyroid Tumors.

作者信息

Chen Gaoxiang, Zhang Hai, Li Cheng, Wen Limu, Zhang Jianan, Wu Minhua, Teng Weifeng, Ji Xiaochun, Luo Yong, Wu Weizhu

机构信息

Department of Thyroid and Breast Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo, China.

出版信息

Front Oncol. 2022 May 27;12:871594. doi: 10.3389/fonc.2022.871594. eCollection 2022.

DOI:10.3389/fonc.2022.871594
PMID:35692775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9186059/
Abstract

OBJECTIVE

To analyze the clinical characteristics of patients with large thyroid tumors underwent endoscopic thyroidectomy using the "elastic stretch cavity builder" system.

METHODS

This retrospective case series study included thyroid tumor patients admitted to the Ningbo Medical Center Li Hui li Hospital between September 2017 and November 2021. The self-developed "elastic stretch cavity builder" was used to elastically lift the anterior cervical flap, combined with low-pressure (3 mmHg) high-flow CO2 inflation, and create a working cavity for endoscopic thyroidectomy.

RESULTS

This study included 13 patients for analysis. The endoscopic thyroidectomy duration was 92-170 min (mean, 123 ± 24min). The maximum transverse plane diameter of the glands was 5.0-6.2 cm (mean, 5.3 ± 0.3 cm). The maximum sagittal plane diameter was 6.8-10.0 cm (mean, 7.6 ± 0.9 cm). After the "elastic stretch cavity builder" lifted the cervical flap, the height of the subcutaneous region was increased by 1.3 ± 0.2cm without affecting cervical activity. There was no residual scar in the anterior cervical skin puncture hole. All patients were satisfied with the cosmetic with the cosmetic satisfaction score was 3.4 ± 0.5.

CONCLUSION

The novel mixed cavity building model established by the "elastic stretch cavity builder" might provide the surgeon with additional longitudinal cervical operating space while improving the stability of the space and saving human effort.

摘要

目的

分析使用“弹性拉伸腔隙建立器”系统行内镜甲状腺切除术的巨大甲状腺肿瘤患者的临床特征。

方法

本回顾性病例系列研究纳入了2017年9月至2021年11月在宁波市医疗中心李惠利医院收治的甲状腺肿瘤患者。使用自行研制的“弹性拉伸腔隙建立器”弹性提起颈前皮瓣，联合低压（3 mmHg）高流量二氧化碳充气，为内镜甲状腺切除术建立操作腔隙。

结果

本研究纳入13例患者进行分析。内镜甲状腺切除术时长为92 - 170分钟（平均123±24分钟）。腺体最大横径为5.0 - 6.2厘米（平均5.3±0.3厘米）。最大矢状径为6.8 - 10.0厘米（平均7.6±0.9厘米）。“弹性拉伸腔隙建立器”提起颈前皮瓣后，皮下区域高度增加1.3±0.2厘米，且不影响颈部活动。颈前皮肤穿刺孔无残留瘢痕。所有患者对美容效果满意，美容满意度评分为3.4±0.5。

结论

“弹性拉伸腔隙建立器”建立的新型混合腔隙构建模式可能为外科医生提供额外的纵向颈部操作空间，同时提高空间稳定性并节省人力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/769056ab2df0/fonc-12-871594-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/ad67453d0f79/fonc-12-871594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/e7c7110a0607/fonc-12-871594-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/f186299f6434/fonc-12-871594-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/04197fbaa8de/fonc-12-871594-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/8bd59d46f786/fonc-12-871594-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/209ff9fd7701/fonc-12-871594-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/769056ab2df0/fonc-12-871594-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/ad67453d0f79/fonc-12-871594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/e7c7110a0607/fonc-12-871594-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/f186299f6434/fonc-12-871594-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/04197fbaa8de/fonc-12-871594-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/8bd59d46f786/fonc-12-871594-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/209ff9fd7701/fonc-12-871594-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c19/9186059/769056ab2df0/fonc-12-871594-g007.jpg

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