Chen Gaoxiang, Ji Xiaochun, Zhang Hai, Luo Yong, Wu Weizhu, Teng Weifeng, Zhang Jianan, Zhou Shaocheng
Department of Thyroid and Breast Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo, China.
Front Oncol. 2023 Apr 27;13:1167949. doi: 10.3389/fonc.2023.1167949. eCollection 2023.
Patients undergoing conventional endoscopic thyroidectomy the axillary approach, which is commonly used clinically, suffered from a range of postoperative complications. This study aimed to prevent postoperative complications and evaluate patients' satisfaction with cosmetic outcomes in endoscopic thyroidectomy the axillary with the use of "Elastic Stretch Cavity Building" System.
In this retrospective case series study, the clinical data of patients who were admitted to the Thyroid Surgery Department of Ningbo Medical Centre Lihuili Hospital between December 2020 and December 2021 for endoscopic thyroidectomy the axillary approach under the "Elastic Stretch Cavity Building" System.
A total of 67 patients were included, all surgeries were successfully completed. The operation time was 75.61 ± 13.67 minutes; the postoperative drainage volume was 109.97 ± 37.54 ml; the average postoperative hospital stay was 4 (2-6) days. There was no skin ecchymosis, effusion or infection, hypocalcemia, convulsions, upper extremity dyskinesia, and temporary hoarseness after the surgery. The patients were satisfied with the cosmetic effects, and the cosmetic score was 4 (3-4).
The "Elastic Stretch Cavity Building" System in endoscopic thyroid surgery the axillary approach might reduce the risks of complications and achieve satisfactory results with the cosmetic outcomes.
采用临床常用的腋窝入路进行传统内镜甲状腺手术的患者会出现一系列术后并发症。本研究旨在预防术后并发症，并使用“弹性拉伸腔隙建立”系统评估腋窝入路内镜甲状腺手术患者对美容效果的满意度。
在这项回顾性病例系列研究中，纳入了2020年12月至2021年12月期间在宁波市医疗中心李惠利医院甲状腺外科接受“弹性拉伸腔隙建立”系统下腋窝入路内镜甲状腺手术患者的临床资料。
共纳入67例患者，所有手术均顺利完成。手术时间为75.61±13.67分钟；术后引流量为109.97±37.54毫升；术后平均住院时间为4（2-�）天。术后无皮肤瘀斑、积液或感染、低钙血症、抽搐、上肢运动障碍及暂时性声音嘶哑。患者对美容效果满意，美容评分为4（3-4）。
腋窝入路内镜甲状腺手术中使用“弹性拉伸腔隙建立”系统可能会降低并发症风险，并在美容效果方面取得满意结果。
