Han Ping, Wang Jing-Yi, Liang Fa-Ya, Lin Pei-Liang, Chen Ren-Hui, Huang Xiao-Ming
Department of Otolaryngology, Head and Neck Surgery, Sun Yat-sen Memorial Hospital Sun Yat-sen University, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation Guangzhou China.
World J Otorhinolaryngol Head Neck Surg. 2024 Dec 15;11(3):406-411. doi: 10.1002/wjo2.227. eCollection 2025 Sep.
Traditional resection of second branchial cleft fistulas (SBCFs) involves a transcervical incision in the neck, which leaves a prominent scar; therefore, endoscope-assisted excision of SBCFs through the anterior chest approach has been proposed. To introduce endoscope-assisted excision of SBCFs via the anterior chest approach and to evaluate its feasibility, validity, safety, and clinical results.
This was a study of four patients with SBCFs who underwent surgical resection with the assistance of endoscopy via the anterior chest approach between May 2012 and May 2018.
All procedures were successfully performed with endoscope-assisted surgery via the anterior chest approach. The volume of blood loss ranged from 5 to 10 mL (median 6 ml). The operating time ranged from 45 to 67 min (median 50 min). No patients presented evidence of long-term complications or recurrence during the median follow-up period of 72-144 months (median 99 months). All patients were satisfied with the cosmetic outcomes.
Endoscope-assisted resection of SBCFs via the anterior chest approach is feasible, effective, and safe and has better esthetic effects. Therefore, SBCF surgery via the anterior chest approach could be a novel and superior treatment option for patients with SBCFs.
传统的第二鳃裂瘘管（SBCF）切除术需要在颈部做一个经颈切口，会留下明显的疤痕；因此，有人提出通过前胸入路在内镜辅助下切除SBCF。介绍通过前胸入路在内镜辅助下切除SBCF，并评估其可行性、有效性、安全性和临床效果。
这是一项对4例SBCF患者的研究，这些患者在2012年5月至2018年5月期间通过前胸入路在内镜辅助下接受了手术切除。
所有手术均通过前胸入路在内镜辅助下成功完成。失血量在5至10毫升之间（中位数为6毫升）。手术时间在45至67分钟之间（中位数为50分钟）。在72至144个月的中位随访期（中位数为99个月）内，没有患者出现长期并发症或复发的迹象。所有患者对美容效果都很满意。
通过前胸入路在内镜辅助下切除SBCF是可行、有效且安全的，并且具有更好的美学效果。因此，对于SBCF患者，通过前胸入路进行SBCF手术可能是一种新颖且优越的治疗选择。
