免充气锁骨下入路腔镜甲状腺全切除术对PTC患者美容满意度及并发症的影响

doi:10.3969/j.issn.2095-378X.2025.03.013

Abstract

Abstract: Objective To investigate the impact of endoscopic thyroidectomy by gasless trans-subclavian approach （ETGTA） on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma （PTC）. Methods A total of 80 PTC patients diagnosed and treated from January 2022 to December 2024 were selected. Among them,48 patients who underwent traditional open surgery combined with central lymph node dissection were included in the control group, and 32 patients who underwent ETGTA combined with central lymph node dissection were included in the study group. Surgical indicators, cosmetic satisfaction, and complications were observed in both groups. Results Compared with the control group,patients in the study group had longer operative time, greater postoperative drainage volumes, higher cosmetic satisfaction, and a lower incidence of neck discomfort （P<0.05）. No statistically significant differences were observed between the two groups in the incidence of recurrent laryngeal nerve injury and hypoparathyroidism （P>0.05）. Conclusion For PTC patients,ETGTA demonstrates significant efficacy, high safety, and excellent cosmetic outcomes.

Key words: Gasless, Trans-subclavian approach, Thyroidectomy, Papillary thyroid carcinoma

CLC Number:

R736.1

LIN Chaoyang, WANG Gang, ZHANG Nianqing. Impact of endoscopic thyroidectomy by gasless trans-subclavian approach on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma[J]. Surgical Research and New Technique, 2025, 14(3): 257-261.

References

[1] Baloch ZW, Asa SL, Barletta JA, et al.Overview of the 2022 WHO classification of thyroid neoplasms[J]. Endocr Pathol,2022,33(1):27-63.
[2] Miranda-Filho A, Lortet-Tieulent J, Bray F, et al.Thyroid cancer incidence trends by histology in 25 countries:a population-based study[J]. Lancet Diabetes Endocrinol,2021,9(4):225-234.
[3] Gordon AJ, Dublin JC, Patel E, et al.American Thyroid Association guidelines and national trends in management of papillary thyroid carcinoma[J]. JAMA Otolaryngol Head Neck Surg,2022,148(12):1156-1163.
[4] 季笑语,邵毅,余恬湉,等.免充气锁骨下入路腔镜甲状腺全切除术治疗甲状腺乳头状癌的单中心回顾性研究[J].腹腔镜外科杂志, 2024, 29(3):167-173.
[5] 袁倩,徐燕婷,李逸林,等. 无充气经锁骨下入路腔镜手术治疗甲状腺乳头状癌的疗效观察[J]. 中华内分泌外科杂志,2024,18(4):479-483.
[6] 中国医师协会外科医师分会甲状腺外科医师委员会. 甲状腺手术中甲状旁腺保护专家共识[J]. 中国实用外科杂志,2015,35(7):731-736.
[7] 田文,阳泽龙.甲状腺乳头状癌流行病学及诊疗焦点探讨[J].西安交通大学学报(医学版), 2024, 45(1):44-48.
[8] Zhang X, Hu XJ, Hua KJ.Endoscopic hemithyroidectomy plus prophylactic central neck dissection via breast approach versus gasless transaxillary approach in treating low-risk papillary thyroid cancer: a retrospective series[J]. Updates Surg, 2023,75(3):707-715.
[9] 季笑语,邵毅,余恬湉,等. 免充气锁骨下入路腔镜甲状腺全切除术治疗甲状腺乳头状癌的单中心回顾性研究[J]. 腹腔镜外科杂志,2024,29(3):167-173.
[10] Neary PM, O'Connor OJ, Shafiq A,et al. The impact of routine open nonsuction drainage on fluid accumulation after thyroid surgery: a prospective randomised clinical trial[J]. World J Surg Oncol,2012,10:72.
[11] 曲衍清,苗成,张晓健,等.经锁骨下入路腔镜手术与开放手术治疗甲状腺良性肿瘤对比[J].中华生物医学工程杂志, 2025, 31(1):52-56.
[12] Kang YJ, Stybayeva G, Hwang SH.Surgical completeness and safety of minimally invasive thyroidectomy in patients with thyroid cancer:a network meta-analysis[J]. Surgery,2023,173(6):1381-1390.
[13] 张洁,许文静,王莎莎. 免充气经锁骨下入路腔镜手术对cN0期单侧甲状腺乳头状癌患者颈部功能、应激反应的影响[J]. 四川生理科学杂志,2024,46(11):2376-2378.
[14] 费阳,李阳,陈峰,等. 完全腔镜甲状腺癌根治术对患者创伤应激与免疫的影响[J]. 腹腔镜外科杂志,2022,27(7):483-486.
[15] Sawka AM, Ghai S, Rotstein L, et al.Decision regret following the choice of surgery or active surveillance for small,low-risk papillary thyroid cancer:a prospective cohort study[J]. Thyroid,2024,34(5):626-634.

Impact of endoscopic thyroidectomy by gasless trans-subclavian approach on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 8

Recommended Articles

Metrics

Comments

[1]	YIN Chenglong, MO Qifei, OUYANG Junguang, LI Jiaxing. Clinical application of recurrent laryngeal nerve monitoring in bilateral total thyroidectomy [J]. Surgical Research and New Technique, 2024, 13(4): 327-329.
[2]	LIU Xiaohua, CHEN Jinjian, GAO Guide, CHEN Fudeng. Clinical application of lateral cervical approach for radical thyroidectomy [J]. Surgical Research and New Technique, 2024, 13(4): 330-333.
[3]	GAO Guide, LIU Xiaohua, CHEN Jinjian, CHEN Fudeng, TU Xingfeng. Comparison of therapeutic effects between transaxillary and transoral vestibular endoscopic surgery for cN0 stage unilateral papillary thyroid carcinoma [J]. Surgical Research and New Technique, 2024, 13(3): 211-214.
[4]	QIU Zhihua. Effect of endoscopic radical thyroidectomy through chest breast approach on early papillary thyroid cancer and observation of patient stress indicators, thyroid function, and parathyroid function [J]. Surgical Research and New Technique, 2023, 12(4): 255-257.
[5]	MA Qiang, LIANG Chunli. Synchronous occurrence of medullary thyroid carcinoma and papillary thyroid carcinoma： a case report and literature review [J]. Surgical Research and New Technique, 2022, 11(4): 270-273.
[6]	QIN Weiyan, CHEN Jinpeng, YUAN Ronghua. Feasibility of endoscopic thyroidectomy via thoracic-breast approach for benign thyroid tumors [J]. Surgical Research and New Technique, 2022, 11(2): 90-92.
[7]	WU Weiwen, ZHEN Jiesheng, YUAN Chaojie, CHENG Jian. Efficacy comparison of two different flap free methods performed in endoscopic thyroidectomy [J]. Surgical Research and New Technique, 2020, 9(1): 28-30.
[8]	YE Jinhan. Clinical comparison between endoscopic thyroidectomy via breast areola approach and open surgery [J]. Surgical Research and New Technique, 2018, 7(4): 263-265.