对无充气腋窝入路腔镜甲状腺手术空间体系构建的思考

Thoughts on the Construction of the Surgical Space System for Gasless Axillary Approach Endoscopic Thyroid Surgery

摘要:

目的：本研究旨在深入剖析无充气腋窝入路腔镜甲状腺手术的空间构建技巧,并结合个人实践经验,以提升手术流程的标准化,加速手术技术的习得,并降低手术并发症的风险_[1]^。方法：本研究采用回顾性分析方法,全面探讨了2018年8月至2023年1月间在我院接受经腋窝入路无充气腔镜甲状腺手术的36例患者。我们详细记录了手术的临床效果、潜在的并发症以及美容效果。结果：全部36例手术均顺利完成,无需中转开放手术。虽然手术时间介于1.5至2.5小时之间,相较于传统开放手术略长,但其显著的美容效果和零重大并发症的发生率充分展现了该术式的优势。结论：本研究强调,深厚的解剖学功底与精湛的腔镜技术对于成功构建手术空间具有决定性作用。通过分享手术心得与技巧,我们期望能有效缩短医生的学习曲线,降低手术并发症,进而提升手术的整体安全性与效果_[2]^。

关键词:无充气腋窝入路;腔镜甲状腺手术 手术空间构建;并发症控制 美容效果;未来展望

Abstract:

Objective: This study aims to deeply analyze the space construction techniques of gasless endoscopic thyroidectomy via the axillary approach and, combined with personal practical experience, to enhance the standardization of the surgical process, accelerate the acquisition of surgical skills, and reduce the risk of surgical complications.Methods: This study adopted a retrospective analysis method to comprehensively explore 36 patients who underwent gasless endoscopic thyroidectomy via the axillary approach at our hospital between August 2018 and January 2023. We meticulously recorded the clinical outcomes, potential complications, and cosmetic results of the surgeries.Results: All 36 surgeries were successfully completed without the need for conversion to open surgery. Although the surgical duration ranged from 1.5 to 2.5 hours, slightly longer than that of traditional open surgery, the notable cosmetic effects and the absence of major complications fully demonstrated the advantages of this surgical approach.Conclusion: This study emphasizes that profound anatomical knowledge and exquisite endoscopic skills play a decisive role in successfully constructing the surgical space. By sharing surgical insights and techniques, we hope to effectively shorten the learning curve for doctors, reduce surgical complications, and thereby enhance the overall safety and efficacy of the surgery.

Key words:Non-inflatable;axillary approach, Endoscopic;thyroid surgery, Surgical;space construction, Complication;control, Cosmetic;effect, Future;prospects.