经颈非充气式内镜下胸锁乳突肌后下入路在甲状腺手术中的应用
[The application of transcervical non-inflatable endoscopic posterior inferior sternocleidomastoid approach in thyroid surgery].
作者信息
Jing Yixin, Ding Yiming, Zhou Jing, Wu Jun, Liu Hongfei, Huang Junwei, Chen Xiao, Huang Zhigang, Chen Xiaohong
机构信息
Department of Thyroid Head and Neck Surgery，Beijing Tongren Hospital，Capital Medical University，Beijing，100730，China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Sep;37(9):691-694. doi: 10.13201/j.issn.2096-7993.2023.09.002.
To investigate the clinical efficacy and safety of transcervical non-inflatable endoscopic thyroidectomy through the posterior inferior sternocleidomastoid approach. From December 2022 to May 2023, the clinical data of 35 patients with papillary thyroid carcinoma treated by transcervical non-inflatable endoscopic surgery via posterior inferior sternocleidomastoid approach were retrospectively analyzed. There were 14 males and 21 females, with an average age of 44.7 years. The operation time, bleeding volume, postoperative recovery, complications and follow-up were recorded. All 35 patients successfully completed the surgery, with an average operation time of 4 hours and 7 minutes, an average bleeding volume of 14 ml, and an average postoperative hospital stay of 3.5 days. There were no serious complications and no obvious neck discomfort during postoperative follow-up. Transcervical non-inflatable endoscopic thyroidectomy via posterior inferior sternocleidomastoid approach is safe and effective, with fast postoperative recovery,high appearance satisfaction and good neck comfort.
探讨经胸锁乳突肌后下入路经颈非充气式内镜甲状腺切除术的临床疗效及安全性。回顾性分析2022年12月至2023年5月采用经胸锁乳突肌后下入路经颈非充气式内镜手术治疗的35例甲状腺乳头状癌患者的临床资料。其中男性14例，女性21例，平均年龄44.7岁。记录手术时间、出血量、术后恢复情况、并发症及随访情况。35例患者均成功完成手术，平均手术时间4小时7分钟，平均出血量14ml，平均术后住院时间3.5天。术后随访无严重并发症，无明显颈部不适。经胸锁乳突肌后下入路经颈非充气式内镜甲状腺切除术安全有效，术后恢复快，外观满意度高，颈部舒适度好。
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