[1]曾焕虹 黄东航**.颈前入路充气法单孔腔镜辅助甲状腺手术与传统开放手术的对比研究[J].中国微创外科杂志,2023,01(7):502-506.
　Zeng Huanhong,Huang Donghang..A Comparative Study of Anterior Cervical Approach Singleport Endoscopic Assisted Thyroidectomy With Insufflation Versus Conventional Open Thyroidectomy[J].Chinese Journal of Minimally Invasive Surgery,2023,01(7):502-506.
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颈前入路充气法单孔腔镜辅助甲状腺手术与传统开放手术的对比研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年7期
页码:
502-506
栏目:
临床研究
出版日期:
2023-07-25

文章信息/Info

Title:
A Comparative Study of Anterior Cervical Approach Singleport Endoscopic Assisted Thyroidectomy With Insufflation Versus Conventional Open Thyroidectomy
作者:
曾焕虹 黄东航**
(福建省立医院基本外科福建医科大学省立临床医学院，福州350001)
Author(s):
Zeng Huanhong;  Huang Donghang.
Department of Basic Surgery, Fujian Provincial Hospital, Fuzhou 350001, China
关键词:
单孔腔镜手术; 甲状腺切除术
Keywords:
Singleport endoscopy; Thyroidectomy
文献标志码:
A
摘要:
目的探讨颈前入路充气法单孔腔镜辅助甲状腺手术(黄氏手术)的安全性、可行性和优势。方法回顾性分析2021年4月~2022年9月74例甲状腺良性结节行单侧甲状腺腺叶切除术的资料，其中42例行颈前入路充气法单孔腔镜辅助手术(腔镜组)，32例行传统开放手术(开放组)。比较2组手术指标、术后并发症、患者对切口满意度等的差异。结果腔镜组术后24小时疼痛评分小于开放组［(2.8±1.1)分vs.(3.7±1.0)分，t=-3.558，P=0.001］，术后2个月患者对切口满意度高于开放组［85.7%(36/42)vs.59.4%(19/32)， χ2=6.603，P=0.010］，但住院费用高于开放组［(13.9±0.7)千元vs.(12.2±0.8)千元，t=10.135，P=0.000］。2组手术时间、术中出血量、术后引流量、术后住院时间及术后并发症发生率无显著差异(P>0.05)。结论颈前入路充气法单孔腔镜辅助甲状腺手术安全可行，与开放手术相比具有切口小、疼痛轻、患者对切口满意度高等优点。
Abstract:
ObjectiveTo investigate the safety, feasibility, and advantages of anterior cervical approach singleport endoscopic assisted thyroidectomy with carbon dioxide insufflation (Huang procedure).MethodsA retrospective comparative study was performed on 74 cases of benign thyroid nodules undergoing unilateral thyroidectomy from April 2021 to September 2022. Fortytwo patients underwent anterior cervical approach singleport endoscopic assisted thyroidectomy with carbon dioxide insufflation (endoscopy group) and 32 patients underwent conventional open thyroidectomy (COT group). The surgical outcomes, postoperative complications, and cosmetic satisfaction were compared between the two groups.ResultsThe postoperative pain score at 24 h after surgery of the endoscopy group was lower than that of the COT group ［(2.8±1.1) points vs. (3.7±1.0) points, t=-3.558, P=0.001］. At 2 months after surgery, the cosmetic satisfaction of the endoscopy group was higher than that of the COT group ［85.7% (36/42) vs. 59.4% (19/32), χ2=6.603, P=0.010］. However, the hospitalization expenses of the endoscopy group was higher than that of the COT group ［(13.9±0.7)×103 yuan vs. (12.2±0.8)×103 yuan, t=10.135, P=0.000］. The operation time, intraoperative bleeding, postoperative drainage volume, postoperative hospital stay, and incidence of postoperative complications of the two groups had no significant differences (P>0.05).ConclusionAnterior cervical approach singleport endoscopic assisted thyroidectomy with carbon dioxide insufflation is feasible and safe, with advantages of smaller incision, less pain, and higher cosmetic satisfaction as compared to open thyroidectomy.

参考文献/References:

[1]Kane EG,Shore SL.Thyroidectomy.Surgery (Oxf),2020,38:801-806.
[2]Yang Y,Sun D,Yang J,et al.Endoscopic thyroidectomy in anterior chest approach versus open thyroidectomy for patients with papillary thyroid carcinomas,a retrospective study.J Laparoendosc Adv Surg Tech A,2020,30(5):488-494.
[3]黄东航,曾焕虹.颈前入路单孔腔镜辅助甲状腺手术的临床价值.微创医学,2021,16(5):638-640,668.
[4]黄东航.颈前入路充气法单孔腔镜辅助甲状腺微创手术.中华普通外科学文献(电子版),2022,16(2):110.
[5]Huang D.Singleport videoassisted thyroidectomy via anterior cervical approach.Video Endocrinology,2022.https://liebertpub.com/doi/10.1089/ve.2022.0012
[6]Huang D,Zeng H,Wang Z.Minimal transcervical access singleport endoscopyassisted thyroidectomy:a retrospective comparative study.Wideochir Inne Tech Maloinwazyjne,2023,18(1):69-76.
[7]Zeng HH, Huang DH. Singleport endoscopyassisted thyroidectomy via cervical gasinsufflation approach for papillary thyroid carcinoma: a pilot retrospective comparative study. Am J Otolaryngol,2023,44(4):103903.
[8]王征,张浩,李伟汉,等.术中持续与间断神经监测技术在腔镜辅助甲状腺手术中的对比研究.中华普外科手术学杂志(电子版),2020,14(2):170-173.
[9]周京安,骆成玉,李洋.超声刀联合双极电凝镊在腔镜辅助甲状腺癌手术中的应用.中国微创外科杂志，2022，22(1):26-30.
[10]Rulli F,Galata G,Pompeo E,et al.A camera handler for Miccoli’s minimally invasive videoassisted thyroidectomy and paratiroidectomy procedures.Surg Endosc,2007,21(6):1017-1019.
[11]Jantharapattana K,Leelasawatsuk P.Transaxillary endoscopic thyroid lobectomy:gas insufflation versus gasless technique.Eur Arch Otorhinolaryngol,2020,277(7):2049-2054.
[12]Tae K.Transoral robotic thyroidectomy using the da Vinci singleport surgical system.Gland Surg,2020,9(3):614-616.
[13]Singaporewalla RM,Rao AD.Minimally invasive videoassisted thyroidectomy in Asian patients:experience from Singapore.ANZ J Surg,2020,90(9):1721-1726.
[14]王宇,李崔伟,史潇，等.腔镜辅助手术与开放手术治疗cN0期甲状腺乳头状癌的对比.中国肿瘤临床,2019,46(20):1051-1055.
[15]Park JH, Bilegsaikhan SE, Suh YJ.A novel technique for performing transoral endoscopic thyroidectomy vestibular approach (TOETVA):a singleport platform.Surg Laparosc Endosc Percutan Tech,2020,30(1):e4-e7.

备注/Memo

备注/Memo:
基金项目：福建省自然科学基金项目(2022J05214)；福建医科大学启航基金项目(2021QH1276)**通讯作者，Email：hdh29@qq.com
更新日期/Last Update: 2023-10-10