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无充气腋窝入路腔镜甲状腺手术的应用、创新与质控

郭雅文 郑传铭 葛明华

外科理论与实践2025,Vol.30Issue(1):1-6,6.
外科理论与实践2025,Vol.30Issue(1):1-6,6.DOI:10.16139/j.1007-9610.2025.01.01

无充气腋窝入路腔镜甲状腺手术的应用、创新与质控

Application,innovation,and quality control of endoscopic thyroidectomy by gasless unilateral axillary approach

郭雅文 1郑传铭 1葛明华1

作者信息

  • 1. 浙江省人民医院(杭州医学院附属人民医院)耳鼻咽喉-头颈外科中心 头颈外科,浙江省头颈部恶性肿瘤临床医学研究中心,全省头颈肿瘤精准医学研究重点实验室,浙江 杭州 310014
  • 折叠

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

引用本文复制引用

郭雅文,郑传铭,葛明华..无充气腋窝入路腔镜甲状腺手术的应用、创新与质控[J].外科理论与实践,2025,30(1):1-6,6.

外科理论与实践

1007-9610

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