经锁骨下入路与胸前入路腔镜手术治疗甲状腺癌的疗效比较
Comparative effectiveness research of endoscopic surgery via subclavian approach and anterior thoracic approach in the treatment of thyroid cancer
张传灼 1芮强1
作者信息
- 1. 江苏省中医院普外科,江苏 南京,210001
- 折叠
摘要
目的:比较经锁骨下入路与胸前入路腔镜手术治疗甲状腺癌的临床效果.方法:回顾分析 2021 年 1 月至 2023年9 月行经锁骨下入路(锁骨下组)与胸前入路(胸前组)腔镜手术的80 例甲状腺癌患者的临床资料,其中男20 例,女60 例,平均(31.86±6.98)岁,每组40 例.结果:两组均顺利完成腔镜手术,无中转开放手术.锁骨下组手术时间短于胸前组[(114.43±18.58)min vs.(165.88±26.70)min,t=-5.042,P<0.001],中央区完全暴露率高于胸前组(97.50%vs.85.00%,χ2=9.347,P=0.033),胸前组手术切口总长度短于锁骨下组[(2.32±0.11)cm vs.(4.41±0.09)cm,t=132.952,P<0.001],两组患者满意度评分差异无统计学意义[(8.90±0.38)vs.(9.40±0.50),t=1.561,P=0.087].结论:经锁骨下入路腔镜手术中央区完全暴露率更高,手术时间更短,具有较好的临床应用价值.
Abstract
Objective:To compare the clinical effect of endoscopic surgery via subclavian approach and anterior thoracic approach in the treatment of thyroid cancer.Methods:The clinical data of 80 patients with thyroid cancer who underwent subclavian and anterior thoracic endoscopic thyroidectomy from Jan.2021 to Sep.2023 were retrospectively analyzed.There were 40 cases in each group,including20 malesand60 females,aged(31.86±6.98)years.Results:All operations were successfully completed under laparoscopy without conversion to open surgery.Compared with the anterior thoracic group,the operation time of subclavian group was shorter[(114.43±18.58)min vs.(165.88±26.70)min,t=-5.042,P<0.001],the complete exposure rate of central area was higher(97.50%vs.85.00%,χ2=9.347,P=0.033).The total length of incision was shorter in anterior thoracic group than that in subclavian group[(2.32±0.11)cm vs.(4.41±0.09)cm,t=132.952,P<0.001].There was no significant difference in patients'satisfaction scores between the two groups[(8.90±0.38)vs.(9.40±0.50),t=1.561,P=0.087].Conclusions:Subclavian endoscopic thyroidectomy has higher central area exposure rate and shorter operation time.It is suitable for some thyroid cancer patients with cosmetic needs and has good clinical application value.
关键词
甲状腺肿瘤/甲状腺切除术/内窥镜检查/经锁骨下入路/胸前入路/疗效比较研究Key words
Thyroid neoplasms/Thyroidectomy/Endoscopy/Subclavian approach/Anterior chest approach/Comparative effec-tiveness research引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据