电视辅助甲状腺切除术与传统开放手术的比较结果：单中心5年经验分析

Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience.

作者信息

Ohara Kenzo, Kumai Takumi, Kishibe Kan, Yamaki Hidekiyo, Komatsuda Hiroki, Hayashi Tatsuya, Takahara Miki

机构信息

Asahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, Japan.

出版信息

Braz J Otorhinolaryngol. 2025 Mar-Apr;91(2):101539. doi: 10.1016/j.bjorl.2024.101539. Epub 2024 Dec 12.

DOI:10.1016/j.bjorl.2024.101539

PMID:39667241

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11698927/

Abstract

OBJECTIVE

This study aimed to evaluate and compare the outcomes of patients undergoing video-assisted thyroidectomy versus those undergoing traditional open surgery.

METHODS

In this retrospective study, we reviewed the clinical records of 449 patients who underwent thyroid surgery at our institution between April 2017 and March 2022. Of these, 209 underwent video-assisted thyroidectomy, while 248 underwent traditional open surgery. After excluding those who received total thyroidectomy, central node dissection, or lateral node dissection, we focused our analysis on 136 patients with video-assisted lobectomy and 92 patients with traditional open surgery. We compared patient outcomes, including surgical results and adverse events, between these groups.

RESULTS

Significant differences were observed in the maximum tumor diameter between the video-assisted lobectomy and traditional open surgery groups. However, no significant differences were noted in surgical time, bleeding, or adverse events.

CONCLUSION

Video-Assisted Neck Surgery (VANS) offers great cosmetic benefits and is comparable to traditional open surgery in terms of adverse events.

LEVEL OF EVIDENCE

IV.

摘要

目的

本研究旨在评估和比较接受腔镜甲状腺手术的患者与接受传统开放手术的患者的治疗结果。

方法

在这项回顾性研究中，我们回顾了2017年4月至2022年3月期间在我院接受甲状腺手术的449例患者的临床记录。其中，209例行腔镜甲状腺手术，248例行传统开放手术。在排除接受全甲状腺切除术、中央区淋巴结清扫术或侧方淋巴结清扫术的患者后，我们将分析重点放在136例行腔镜甲状腺叶切除术的患者和92例行传统开放手术的患者身上。我们比较了两组患者的治疗结果，包括手术结果和不良事件。