吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的安全性及可行性研究_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

曾沁欣 ¹ , 吳劍 ² , 劉虹 ² , 吳國洋 ³ ,  王浩斌 ⁴

1. ;
2. ;
3. ;
4. ;

Corresponding?author：

王浩斌, Email: wanghaobin@swjtu.edu.cn

Keywords：

甲狀腺乳頭狀癌; 多功能吸引器; 免充氣; 經口入路; 甲狀腺切除術

DOI：

10.7507/1007-9424.202503033

Video：

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目的探討吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的安全性及可行性。方法回顧性分析2022年7月至2024年1月期間在成都市第三人民醫院乳腺甲狀腺外科接受吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的72例甲狀腺乳頭狀癌患者的臨床資料。結果 72例患者均在腔鏡下順利完成手術，無中轉開放手術。手術時間（102±27）min，術后住院時間（3.4±1.1）d。術后并發癥包括1例暫時性喉返神經麻痹，2例短暫性甲狀旁腺功能減退，18例短暫性下唇麻木，2例暫時性下頜部皮膚感覺障礙，2例暫時性嗅覺、味覺喪失，以上并發癥患者均在1～3個月內恢復，未見該術式的特異性并發癥。所有患者均獲訪，中位隨訪時間21個月（12～26個月），隨訪中無腫瘤局部殘留或復發。結論吸引器支撐式免充氣經口腔鏡甲狀腺癌手術治療甲狀腺乳頭狀癌安全可行。

Citation： 曾沁欣, 吳劍, 劉虹, 吳國洋, 王浩斌. 吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的安全性及可行性研究. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2025, 32(8): 1015-1018. doi: 10.7507/1007-9424.202503033 Copy

1.	Luna-Ortiz K, Gómez-Pedraza A, Anuwong A. Lessons learned from the transoral endoscopic thyroidectomy with vestibular approach (TOETVA) for the treatment of thyroid carcinoma. Ann Surg Oncol, 2020, 27(5): 1356-1360.
2.	Zhang D, Park D, Sun H, et al. Indications, benefits and risks of transoral thyroidectomy. Best Pract Res Clin Endocrinol Metab, 2019, 33(4): 101280. doi: 10.1016/j.beem.2019.05.004.
3.	Tae K, Ji YB, Song CM, et al. Robotic and endoscopic thyroid surgery: evolution and advances. Clin Exp Otorhinolaryngol, 2019, 12(1): 1-11.
4.	Tae K. Complications of transoral thyroidectomy: overview and update. Clin Exp Otorhinolaryngol, 2021, 14(2): 169-178.
5.	中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會, 海峽兩岸醫藥衛生交流協會臺海甲狀腺微創美容外科專家委員會, 等. 經口腔前庭入路腔鏡甲狀腺手術專家共識 (2018版). 中國實用外科雜志, 2018, 38(10): 1104-1107.
6.	Wilhelm T, Metzig A. Video. Endoscopic minimally invasive thyroidectomy: first clinical experience. Surg Endosc, 2010, 24(7): 1757-1758.
7.	傅錦波, 陳清貴, 羅曄哲, 等. 經口入路腔鏡下甲狀腺切除手術五例經驗. 中華普通外科雜志, 2012, 27(4): 279-281.
8.	王存川, 翟賀寧, 劉衛軍, 等. 經口腔前庭腔鏡甲狀腺切除術6例經驗. 中國內鏡雜志, 2013, 19(4): 363-366.
9.	Bonjer HJ, Hazebroek EJ, Kazemier G, et al. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg, 1997, 84(5): 599-602.
10.	Park EY, Kwon JY, Kim KJ. Carbon dioxide embolism during laparoscopic surgery. Yonsei Med J, 2012, 53(3): 459-466.
11.	Nakajo A, Arima H, Hirata M, et al. Trans-oral video-assisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc, 2013, 27(4): 1105-1110.
12.	Park JO, Park YJ, Kim MR, et al. Gasless transoral endoscopic thyroidectomy vestibular approach (gasless TOETVA). Surg Endosc, 2019, 33(9): 3034-3039.
13.	Sheng X, Liu J, Fang J, et al. En bloc resection of total thyroid and bilateral central compartment lymph nodes via a gasless transoral approach in papillary thyroid carcinoma. Front Endocrinol (Lausanne), 2023, 14: 1130791. doi: 10.3389/fendo.2023.1130791.
14.	趙敏健, 劉黎明, 余召師, 等. 撐開式拉鉤在經口免充氣單孔腔鏡甲狀腺手術中的應用. 中華普通外科雜志, 2020, 35(3): 257-258.
15.	Udelsman R, Anuwong A, Oprea AD, et al. Trans-oral vestibular endocrine surgery: a new technique in the United States. Ann Surg, 2016, 264(6): e13-e16. doi: 10.1097/SLA.0000000000002001.
16.	Tae K. Complications of transoral thyroidectomy: overview and update. Clin Exp Otorhinolaryngol, 2021, 14(2): 169-178.
17.	孫一鳴, 吳峰, 王松, 等. 經口腔前庭入路腔鏡甲狀腺術后下頜感覺功能障礙研究現狀及展望. 中國普外基礎與臨床雜志, 2024, 31(8): 1012-1018.
18.	Farzana N, Tewari P, Sureka S, et al. Parosmia and dysgeusia after intravenous propofol-based general anesthesia: a case report. Ann Card Anaesth, 2022, 25(1): 112-115.
19.	Wang C, Pan Y, Guan J, et al. Anosmia and ageusia after intravenous esketamine and propofol-based general anesthesia. Asian J Surg, 2023, 46(11): 5219-5221.
20.	Du W, Xu Z, Wang W, et al. A case of anosmia and hypogeusia as a complication of propofol. J Anesth, 2018, 32(2): 293-296.

1. Luna-Ortiz K, Gómez-Pedraza A, Anuwong A. Lessons learned from the transoral endoscopic thyroidectomy with vestibular approach (TOETVA) for the treatment of thyroid carcinoma. Ann Surg Oncol, 2020, 27(5): 1356-1360.
2. Zhang D, Park D, Sun H, et al. Indications, benefits and risks of transoral thyroidectomy. Best Pract Res Clin Endocrinol Metab, 2019, 33(4): 101280. doi: 10.1016/j.beem.2019.05.004.
3. Tae K, Ji YB, Song CM, et al. Robotic and endoscopic thyroid surgery: evolution and advances. Clin Exp Otorhinolaryngol, 2019, 12(1): 1-11.
4. Tae K. Complications of transoral thyroidectomy: overview and update. Clin Exp Otorhinolaryngol, 2021, 14(2): 169-178.
5. 中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會, 海峽兩岸醫藥衛生交流協會臺海甲狀腺微創美容外科專家委員會, 等. 經口腔前庭入路腔鏡甲狀腺手術專家共識 (2018版). 中國實用外科雜志, 2018, 38(10): 1104-1107.
6. Wilhelm T, Metzig A. Video. Endoscopic minimally invasive thyroidectomy: first clinical experience. Surg Endosc, 2010, 24(7): 1757-1758.
7. 傅錦波, 陳清貴, 羅曄哲, 等. 經口入路腔鏡下甲狀腺切除手術五例經驗. 中華普通外科雜志, 2012, 27(4): 279-281.
8. 王存川, 翟賀寧, 劉衛軍, 等. 經口腔前庭腔鏡甲狀腺切除術6例經驗. 中國內鏡雜志, 2013, 19(4): 363-366.
9. Bonjer HJ, Hazebroek EJ, Kazemier G, et al. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg, 1997, 84(5): 599-602.
10. Park EY, Kwon JY, Kim KJ. Carbon dioxide embolism during laparoscopic surgery. Yonsei Med J, 2012, 53(3): 459-466.
11. Nakajo A, Arima H, Hirata M, et al. Trans-oral video-assisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc, 2013, 27(4): 1105-1110.
12. Park JO, Park YJ, Kim MR, et al. Gasless transoral endoscopic thyroidectomy vestibular approach (gasless TOETVA). Surg Endosc, 2019, 33(9): 3034-3039.
13. Sheng X, Liu J, Fang J, et al. En bloc resection of total thyroid and bilateral central compartment lymph nodes via a gasless transoral approach in papillary thyroid carcinoma. Front Endocrinol (Lausanne), 2023, 14: 1130791. doi: 10.3389/fendo.2023.1130791.
14. 趙敏健, 劉黎明, 余召師, 等. 撐開式拉鉤在經口免充氣單孔腔鏡甲狀腺手術中的應用. 中華普通外科雜志, 2020, 35(3): 257-258.
15. Udelsman R, Anuwong A, Oprea AD, et al. Trans-oral vestibular endocrine surgery: a new technique in the United States. Ann Surg, 2016, 264(6): e13-e16. doi: 10.1097/SLA.0000000000002001.
16. Tae K. Complications of transoral thyroidectomy: overview and update. Clin Exp Otorhinolaryngol, 2021, 14(2): 169-178.
17. 孫一鳴, 吳峰, 王松, 等. 經口腔前庭入路腔鏡甲狀腺術后下頜感覺功能障礙研究現狀及展望. 中國普外基礎與臨床雜志, 2024, 31(8): 1012-1018.
18. Farzana N, Tewari P, Sureka S, et al. Parosmia and dysgeusia after intravenous propofol-based general anesthesia: a case report. Ann Card Anaesth, 2022, 25(1): 112-115.
19. Wang C, Pan Y, Guan J, et al. Anosmia and ageusia after intravenous esketamine and propofol-based general anesthesia. Asian J Surg, 2023, 46(11): 5219-5221.
20. Du W, Xu Z, Wang W, et al. A case of anosmia and hypogeusia as a complication of propofol. J Anesth, 2018, 32(2): 293-296.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

吸引器支撐式免充氣經口腔鏡甲狀腺癌手術的安全性及可行性研究

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