Abstract：This study aims to investigate the clinical application of cavity construction with visual puncture and extended Trocar in endoscopic thyroid surgery through the total areola approach. Methods This is a retrospective cohort study. The clinical data of 70 patients who underwent endoscopic thyroid surgery through the whole areola approach admitted to the Department of Surgical Oncology, the First Affiliated Hospital of Bengbu Medical College from January 2019 to December 2021 were included. The patients included 4 males and 66 females, their ages ranged from 22 years to 58 years. A total of 35 cases were placed into the observation group by the 4-step technique of cavity construction with visual puncture and extended Trocar device, and 35 cases were placed into the control group by the blunt separation technique. The completion time, subcutaneous separation area, and incidence of adverse events (e.g., Trocar channel bleeding, postoperative skin paresthesia, sebaceous cyst formation, fat liquefaction, local ecchymosis, and other skin complications) of the two groups were compared. Results Cavity construction was successfully completed in both groups. All patients were followed up for three months. No significant difference in gender, age, body mass index, total thyroidectomy, unilateral thyroidectomy, and other general data was observed between the two groups (all P values>0.05). The completion time of cavity construction of the observation group was (10.5±2.2)min, which was significantly shorter than that of the control group ([30.5±4.2]min; t=24.67, P<0.001). The subcutaneous separation area of the observation group was(65.05±5.04)cm2, which was significantly smaller than that of the control group ([80.06±8.08]cm2; t=-9.32, P<0.001). In the study group, a patient (2.86%, 1/35) had Trocar catheter bleeding. Adverse events occurred in 11 patients (31.43%, 11/35) in the control group, and the difference was statistically significant (χ2=10.06, P=0.002). Conclusion The method of visual puncture and extended Trocar can help the surgeon to construct cavity simply, quickly, safely, and effectively in endoscopic thyroid surgery through the total areola approach. This method has high clinical application value.
谢强, 金鑫, 张立功, 金功圣, 钱军. 可视穿刺器联合加长Trocar建腔在全乳晕入路腔镜甲状腺手术中的应用[J]. 中华解剖与临床杂志, 2022, 27(12): 805-809.
Xie Qiang, Jin Xin, Zhang Ligong, Jin Gongsheng, Qian Jun. Clinical application of cavity construction with visual puncture and extended Trocar in endoscopic thyroid surgery through the total areola approach. Chinese Journal of Anatomy and Clinics, 2022, 27(12): 805-809.
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2022, Vol. 27 
