摘要
目的 探讨胸前入路腔镜下甲状腺癌根治术的安全性,可行性及美容性。方法 选取苏州大学附属太仓医院2020年7月至2022年2月连续手术的12例经胸前入路腔镜下甲状腺癌根治术患者为腔镜组,选取同期开展的19例开放甲状腺癌根治术患者作为开放组。分析比较两组患者的临床资料、手术效果及并发症情况。结果 腔镜组患者清扫中央区淋巴结数、术中出血量、术前血钙-术后血钙差值及并发症与开放组比较,差异无统计学意义(P>0.05)。虽然腔镜组手术总时长、引流液大于开放组(P<0.05),但是美容效果显著好于开放组(P<0.05)。结论 经胸前途径行腔镜下甲状腺癌根治术不增加手术并发症,手术效果满意,可获得显著的美容效果。
Objective To investigate the safety,feasibility and cosmetology of endoscopic radical thyroidectomy via anterior thoracic approach.Methods Twelve patients who underwent endoscopic radical thyroidectomy via anterior thoracic approach at Taicang Hospital Affiliated to Soochow University from July 2020 to February 2022 continuously were taken as the endos copic group.In contrast,nineteen patients subjected to open radical thyroidectomy performed during the same period were selected as the open group.The clinical data,surgical results and complications of the patients in the two groups were analyzed and compared.Results There were no statistically significant differences in the number of central lymph nodesintraoperative bleeding,preoperative blood calcium-postoperative blood calcium difference and complications between the endoscopic group and the open group(P>0.05).Although the total operative time was longer and the drainage was more in the endoscopic group than in the open group(P<0.05),the aesthetic outcome was remarkably better in the endoscopic group when compared to the open group(P<0.05).Conclusion Endoscopic radical thyroidectomy via anterior thoracic approach involves no additional surgical complications and provides a satisfactory surgical outcome with significant cosmetic results.
作者
储昭新
严建明
陈洁
钱永祥
CHU Zhaoxin;YAN Jianming;CHEN Jie;QIAN Yongxiang(Department of General Surgery,Taicang Hospital Affiliated to Soochow University,the First People’s Hospital of Taicang,Jiangsu,Taicang 215400,China)
出处
《中国医药科学》
2023年第16期150-153,共4页
China Medicine And Pharmacy
基金
江苏省苏州市科技发展计划项目(SYSD2018039)
江苏省太仓市科技计划项目(TC2019JCYL08)。
