中国普通外科杂志2024，Vol.33Issue(5)：732-741,10.DOI:10.7659/j.issn.1005-6947.2024.05.006
无充气单侧腋窝入路全腔镜甲状腺双侧叶全切除术对侧处理改进三步法(附视频)
The improved three-step method for contralateral treatment in gasless unilateral axillary approach-endoscopic total thyroidectomy(with video)
王慧玲 1武亚琴 1张超杰 2游硕 1方茜 1曾政 1方萌 1刘睿1
作者信息
- 1. 湖南省人民医院(湖南师范大学附属第一医院)乳甲外科,湖南长沙 410024
- 2. 湖南省人民医院(湖南师范大学附属第一医院)乳甲外科,湖南长沙 410024||湖南省老年医学研究所,湖南长沙 410024
- 折叠
摘要
Abstract
With the advancements in endoscopic techniques,endoscopic thyroid surgery has become widely utilized.Currently,common approaches for endoscopic thyroid surgery include breast,oral vestibular,and transaxillary approach.Among them,endoscopic thyroidectomy by a gasless unilateral axillary approach has been highly recognized by many thyroid surgeons.This technique can meet patients'cosmetic needs while utilizing the natural space between neck muscles for operation to achieve the goal of minimally invasive surgery.Although the transaxillary gasless endoscopic thyroidectomy has become increasingly mature and standardized,several challenges need to be directly addressed in contralateral treatment of bilateral lobectomy during performing gasless unilateral axillary approach-endoscopic total thyroidectomy(GUA-ETT),such as avoiding tracheal obstruction,smoothly exposing the contralateral recurrent laryngeal nerve,and ensuring thorough clearance of contralateral central lymph nodes.In the authors'center,an improved three-step method for contralateral treatment and contralateral central lymph node dissection after unilateral thyroidectomy is proposed.To help thyroid surgeons master this technique,here,the authors provide a thorough explanation and sharing of the surgical methods,technical characteristics,operative techniques and nuances,as well as operative key points,difficulties,and operative experiences of the improved three-step method for contralateral treatment in GUA-ETT.关键词
甲状腺肿瘤/甲状腺切除术/内窥镜/腋窝入路Key words
Thyroid Neoplasms/Thyroidectomy/Endoscopes/Axillary Approach分类
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王慧玲,武亚琴,张超杰,游硕,方茜,曾政,方萌,刘睿..无充气单侧腋窝入路全腔镜甲状腺双侧叶全切除术对侧处理改进三步法(附视频)[J].中国普通外科杂志,2024,33(5):732-741,10.
