无充气腋窝入路腔镜行单侧甲状腺叶切除术手术时间和并发症的影响因素分析

Analysis of factors influencing the operation time and complications of endoscopic unilateral thyroidectomy by a gasless unilateral axillary approach

摘要:

目的 探究影响无充气腋窝入路腔镜行单侧甲状腺叶切除术手术时间和并发症的因素。方法 连续收集2022年12月－2023年11月该院头颈外二科203例在无充气式经腋窝入路腹腔镜下行单侧甲状腺叶切除术患者的临床资料，并进行分析。结果 性别、BMI、TG、腺叶体积、病灶数目和肿瘤良恶性会影响手术时间。其中，男性、BMI > 19.45 kg/m²和腺叶体积 > 9.25 mL是影响手术时间的独立危险因素（P < 0.05）。TG和肿瘤最大径会影响早期并发症的发生，但无独立危险因素。结论 BMI ≤ 19.45 kg/m²，且腺叶体积≤9.25 mL（术前可通过3D slicer测量）的女性患者，相对手术难度较低，可能更适合初学者学习。

Abstract:

Objective To explore the factors that may influence the operation time and complications of endoscopic unilateral thyroidectomy by a gasless unilateral axillary approach.Methods Clinical data of 203 consecutive patients who underwent endoscopic unilateral thyroidectomy by a gasless unilateral axillary approach from December 2022 to November 2023 were collected.Results Gender, BMI, TG, glandular lobe volume, number of lesions, and benign and malignant tumors affected the length of surgery; Among them, male, BMI > 19.45 kg/m² and glandular lobe volume > 9.25 mL were independent influences on the length of surgery (P < 0.05). TG and tumor maximal diameter affected the occurrence of complications; There was no independent influence factor.Conclusion Female patients with BMI ≤ 19.45 kg/m² and glandular lobe volume ≤ 9.25 mL (which can be measured preoperatively by 3D slicer) are relatively less difficult to perform the procedure and may be more suitable for beginners to learn.