Novel Trocars and Suspension System Application in Gasless Transoral Endoscopic Thyroidectomy Vestibular Approach Oral Endoscopic Surgery.

Novel Trocars and Suspension System Application in Gasless Transoral Endoscopic Thyroidectomy Vestibular Approach Oral Endoscopic Surgery.
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新型套管针和悬挂系统在无气经口内窥镜甲状腺切除术中的应用前庭入路口腔内窥镜手术

DOI:
10.3389/fonc.2021.694133
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发表时间:
2021
影响因子:
4.7
通讯作者:
Wang S
Wang S
中科院分区:
医学3区
文献类型:
--
作者:
Fang J;Liu J;Zheng X;Wang S

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在目前的研究中,我们报告了我们使用新型套管针和悬挂系统进行经口内窥镜甲状腺切除术前庭入路(TOETVA)的初步经验。回顾性分析了2019年2月至2020年9月在中国科学技术大学第一附属医院采用我们设计的套管针和悬挂系统行无气TOETVA治疗的影像学检查提示中央淋巴结转移的甲状腺癌患者。本研究共纳入95例接受无气TOETVA治疗的甲状腺癌患者。值得注意的是,73例行单侧肺叶切除术,其余22例行甲状腺全切除术。所有甲状腺癌患者均行中央淋巴结清扫(CND)。平均检查淋巴结总数为8.55±5.67个。除1例患者出现短期喉返神经缺损及1例患者术后迟发性出血外,术中及术后未发生严重并发症。综上所述,新型套管针和悬挂系统的使用可有效提高TOETVA的安全性和有效性。
In the current study, we reported our initial experience of gasless transoral endoscopic thyroidectomy vestibular approach (TOETVA) by novel trocars and a suspension system. Between February 2019 to September 2020, thyroid cancer patients with indicated central lymph node metastasis by imaging examination who had received gasless TOETVA by our designed trocars and suspension system in The First Affiliated Hospital of University of Science and Technology of China were reviewed. A total of 95 thyroid cancer patients that received gasless TOETVA were included in this analysis. Of note, 73 cases underwent one-sided lobectomy and the remaining 22 cases underwent total thyroidectomy. All thyroid cancer patients underwent central lymph node dissection (CND). The average total examined lymph nodes number was 8.55 ± 5.67 per individual. No serious complications occurred during or after the operation besides one patient who had a short-term recurrent laryngeal nerve (RLN) deficit and one patient who had delayed postoperative bleeding. In conclusion, the use of novel trocars and a suspension system can effectively improve the safety and efficacy of TOETVA.
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