摘要
Abstract
The endoscopic thyroidectomy by gasless unilateral axillary approach(GUA)represents a significant ad-vancement in the field of endoscopic thyroid surgery,offering notable aesthetic and clinical therapeutic benefits.This paper reviewed the current clinical application,core technological innovations,quality control systems,and future developmental directions of GUA.Research indicated that GUA achieved surgical outcomes comparable to traditional open surgery in the treatment of benign thyroid tumors and thyroid cancer,while substantially enhancing cosmetic results and patient satisfaction.By optimizing the surgical approach design,enhancing cavity construction equipment,and standardizing the operational process,GUA markedly reduced the incidence of postoperative complications,preserved the anterior cervical functional area,and improved patients'postoperative quality of life.Furthermore,multidisciplinary collaboration and thorough pre-operative evaluation were fundamental to surgical success,while intraoperative quality control measures and a comprehen-sive postoperative follow-up system ensured the safety and efficacy of the procedure.In the future,the integration of ro-botic technology and advancements in single-site devices are anticipated to enhance the role of GUA in endoscopic thy-roid surgery,thereby offering patients more minimally invasive and aesthetically favorable treatment options.关键词
无充气腋窝入路腔镜甲状腺手术/甲状腺肿瘤/手术术式/质量控制Key words
Endoscopic thyroidectomy by gasless unilateral axillary approach(GUA)/Thyroid tumor/Surgical tech-nique/Quality control分类
临床医学