[The application of transcervical non-inflatable endoscopic posterior inferior sternocleidomastoid approach in thyroid surgery].

Yixin Jing, Yiming Ding, Jing Zhou, Jun Wu, Hongfei Liu, Junwei Huang, Xiao Chen, Zhigang Huang, Xiaohong Chen
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Abstract

Objective:To investigate the clinical efficacy and safety of transcervical non-inflatable endoscopic thyroidectomy through the posterior inferior sternocleidomastoid approach. Methods:From December 2022 to May 2023, the clinical data of 35 patients with papillary thyroid carcinoma treated by transcervical non-inflatable endoscopic surgery via posterior inferior sternocleidomastoid approach were retrospectively analyzed. There were 14 males and 21 females, with an average age of 44.7 years. The operation time, bleeding volume, postoperative recovery, complications and follow-up were recorded. Results:All 35 patients successfully completed the surgery, with an average operation time of 4 hours and 7 minutes, an average bleeding volume of 14 ml, and an average postoperative hospital stay of 3.5 days. There were no serious complications and no obvious neck discomfort during postoperative follow-up. Conclusion:Transcervical non-inflatable endoscopic thyroidectomy via posterior inferior sternocleidomastoid approach is safe and effective, with fast postoperative recovery,high appearance satisfaction and good neck comfort.

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[经颈椎非充气内窥镜胸锁乳突后下入路在甲状腺手术中的应用]。
目的:探讨经胸锁乳突肌后方下入路的经颈部非充气内镜甲状腺切除术的临床疗效和安全性。方法:回顾性分析2022年12月至2023年5月期间,35例经胸锁乳突肌后下入路的经颈部非充气内镜甲状腺乳头状癌患者的临床资料。其中男性 14 例,女性 21 例,平均年龄 44.7 岁。记录了手术时间、出血量、术后恢复、并发症和随访情况。结果:35 名患者均顺利完成手术,平均手术时间为 4 小时 7 分钟,平均出血量为 14 毫升,术后平均住院时间为 3.5 天。无严重并发症,术后随访无明显颈部不适。结论:经后胸锁乳突下入路的经颈部非充气内镜甲状腺切除术安全有效,术后恢复快,外观满意度高,颈部舒适度好。
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