外科理论与实践2025，Vol.30Issue(6)：503-508,6.DOI:10.16139/j.1007-9610.2025.06.08
无充气经锁骨下侧方入路——更适合甲状旁腺解剖的手术方式
Gasless subclavicular lateral approach:an anatomically tailored surgical technique for parathyroid surgery
摘要
Abstract
Objective To explore the safety and effectiveness of gasless subclavicular lateral approach in parathyroid surgery.Methods A retrospective comparative study was conducted to collect a total of 53 patients with primary hyperparathyroidism who underwent surgical treatment at Ruijin Hospital,Shanghai Jiao Tong University School of Medicine from November 2024 to April 2025.Among them,20 patients underwent subclavicular lateral approach surgery(experimental group).The control group was matched 1:1 based on criteria including gender,age,tumor size,and preoperative(parathyroid hormone,PTH)levels.Twenty patients who underwent conventional anterior cervical approach during the same period were selected for a case-control study.The surgical efficacy,postoperative incision pain,incidence of complications,and cosmetic effects between two groups were compared.Results There was no statistically significant difference(P>0.05)in operative time,intraoperative bleeding,hospitalization time,and surgical efficiency between the two groups.There was no statistically significant difference in the incidence of postoperative complications such as hoarseness,water choking,incision infection,incision hematoma,fever,and postoperative pain scores between the two groups during hospitalization(P>0.05).In the scar assessment one month after surgery,the score of the experimental group was lower than that of the control group(P<0.05).The satisfaction score of the beauty effect in the experimental group was significantly better than that in the control group(P<0.01).Conclusions Gasless subclavicular lateral approach for parathyroidectomy,as an emerging and anatomically optimized surgical technique,has good effectiveness and safety,without significantly increasing surgical risks.It can safely remove lesions without leaving surgical scars in the anterior neck,and has the advantage of good cosmetic effects.As a safe and feasible surgical method,it provides a new and ideal choice for patients undergoing parathyroid surgery.关键词
无充气经锁骨下入路/甲状旁腺切除术/甲状旁腺功能亢进/侧方入路Key words
Gasless subclavicular approach/Parathyroidectomy/Hyperparathyroidism/Lateral approach分类
医药卫生引用本文复制引用
冯雯卿,高浩基..无充气经锁骨下侧方入路——更适合甲状旁腺解剖的手术方式[J].外科理论与实践,2025,30(6):503-508,6.基金项目
2025年度广慈金光启航计划(YW20250528) （YW20250528）
