Application of low-collar small arc-shaped incision in thyroid cancer surgery

YAN Xiao-yi; LI Yuan; GENG Xiang; WANG Shi-jia; LYU Guo-jun; WU Wen-ze; DING Yu; JU Feng

doi:10.11659/jjssx.03E026012

您当前的位置：

首页 >

文章列表页 >

Application of low-collar small arc-shaped incision in thyroid cancer surgery

Precise Diagnosis and Treatment of Breast and Thyroid Diseases | 更新时间：2026-07-31

- Application of low-collar small arc-shaped incision in thyroid cancer surgery
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 8, Pages: 666-669(2026)
- 作者机构：
  
  南京医科大学第三附属医院/常州市第二人民医院甲状腺外科，江苏常州 213000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.03E026012
  CLC： R615
- Received：03 March 2026，
  
  Online First：31 July 2026，
  
  Published：25 August 2026
- 稿件说明：
移动端阅览
颜晓毅,李圆,耿翔等.低领小弧形切口在甲状腺癌手术中的应用研究[J].局解手术学杂志,2026,35(08):666-669.

YAN Xiao-yi,LI Yuan,GENG Xiang,et al.Application of low-collar small arc-shaped incision in thyroid cancer surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(08):666-669.
颜晓毅,李圆,耿翔等.低领小弧形切口在甲状腺癌手术中的应用研究[J].局解手术学杂志,2026,35(08):666-669. DOI： 10.11659/jjssx.03E026012.

YAN Xiao-yi,LI Yuan,GENG Xiang,et al.Application of low-collar small arc-shaped incision in thyroid cancer surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(08):666-669. DOI： 10.11659/jjssx.03E026012.

摘要

目的

探讨低领小弧形切口手术治疗对甲状腺癌患者术后美观、并发症的影响。

方法

回顾性分析2022年1月至2024年1月于南京医科大学第三附属医院接受外科治疗的206例甲状腺癌患者的临床资料，其中103例患者接受传统手术治疗（传统手术组），103例患者行低领小弧形切口手术治疗（低领小弧形切口组）。比较2组患者的手术时间、住院时间、切口长度、术中出血量及视觉模拟量表（VAS）评分等围术期指标；术后3个月，观察患者切口愈合情况，并采用温哥华瘢痕量表（VSS）评估患者术后切口的美观度；记录2组患者术后并发症情况及预后结局。

结果

与传统手术组比较，低领小弧形切口组患者手术时间、住院时间及切口长度均更短（

0.05），术中出血量更少（

0.05），VAS评分更低（

0.05）。低领小弧形切口组患者术后3个月肉眼可见瘢痕较浅，而传统手术组患者瘢痕较为明显。低领小弧形切口组患者VSS各维度评分及总分均低于传统手术组（

0.05）。低领小弧形切口组患者术后并发症总发生率显著低于传统手术组（

0.05）。2组患者复发率比较，差异无统计学意义（

0.05）。

结论

低领小弧形切口手术治疗甲状腺癌患者可缩短手术时间与住院时间、减少术中出血量、减轻术后疼痛，降低术后并发症发生率，且术后切口美观度更优。

Abstract

Objective

To investigate the impact of low-collar small arc-shaped incision surgery on postoperative cosmetic outcomes and complications in patients with thyroid cancer.

Methods

A retrospective analysis was conducted on the clinical data of 206 patients with thyroid cancer who underwent surgical treatment in the Third Affiliated Hospital of Nanjing Medical University from January 2022 to January 2024. Among them， 103 patients received conventional thyroidectomy （the conventional surgery group） and 103 patients underwent low-collar small arc-shaped incision surgery （the low-collar small arc-shaped incision group）. Perioperative parameters including operation time， hospital stay， incision length， intraoperative blood loss， and visual analogue scale （VAS） scores were compared between the two groups. At 3 months postoperatively， the wound healing of patients in the two groups was observed， and the cosmetic appearance of the incision of patients in the two groups was assessed by the Vancouver scar scale （VSS）. The postoperative complications and prognostic outcomes of patients in the two groups were recorded.

Results

Compared with the conventional surgery group， the low-collar small arc-shaped incision group had significantly shorter operation time， hospital stay， and incision length （

0.05）， less intraoperative blood loss （

0.05）， and lower VAS score （

0.05）. At 3 months postoperatively， patients in the low-collar small arc-shaped incision grou

p had visibly shallower scars compared with those in the conventional surgery group.The scores of all VSS dimensions and the total VSS score in the low-collar small arc-shaped incision group were lower than those in the conventional surgery group （

0.05）.The total incidence of postoperative complications in the low-collar small arc-shaped incision group was significantly lower than that in the conventional surgery group （

0.05）.There was no statistically significant difference in the recurrence rate between the two groups （

0.05）.

Conclusion

For patients with thyroid cancer， low-collar small arc-shaped incision surgery can shorten operative time and hospital stay， reduce intraoperative blood loss， alleviate postoperative pain， reduce the incidence of postoperative complications， and achieve superior cosmetic outcomes of the surgical incision.

关键词

Keywords

references

Pace-Asciak P ， Russell JO ， Tufano RP . Surgical treatment of thyroid cancer：established and novel approaches ［J］. Best Pract Res Clin Endocrinol Metab ， 2023 ， 37 （ 1 ）： 101664 - 101665 . doi： 10.1016/j.beem.2022.101664 http://dx.doi.org/10.1016/j.beem.2022.101664 .

Kim DG ， Kim K ， Lee JE ， et al . Re-do operation using a robotic system due to locoregional recurrence after initial thyroidectomy for thyroid cancer ［J］. Sci Rep ， 2022 ， 12 （ 1 ）： 11531 - 11534 . doi： 10.1038/s41598-022-15908-x http://dx.doi.org/10.1038/s41598-022-15908-x .

卢玉宁，巩福玉，张团结 . 低领小弧形切口在甲状腺肿瘤外科手术中应用研究［J］. 创伤与急危重病医学， 2021 ， 9 （ 1 ）： 75 - 76 . doi： 10.16048/j.issn.2095-5561.2021.01.20 http://dx.doi.org/10.16048/j.issn.2095-5561.2021.01.20 .

Li X ， Yang A ， Wen P ， et al . Nuclear receptor subfamily 3 group c member 2 （NR3C2） is downregulated due to hypermethylation and plays a tumor-suppressive role in colon cancer ［J］. Mol Cell Biochem ， 2022 ， 477 （ 11 ）： 2669 - 2679 . doi： 10.1007/s11010-022-04449-6 http://dx.doi.org/10.1007/s11010-022-04449-6 .

He Y ， Lin Y ， He X ， et al . The conservative management for improving visual analog scale （VAS） pain scoring in greater trochanteric pain syndrome：a bayesian analysis ［J］. BMC Musculoskelet Disord ， 2023 ， 24 （ 1 ）： 423 - 428 . doi： 10.1186/s12891-023-06443-5 http://dx.doi.org/10.1186/s12891-023-06443-5 .

Kim JK ， Park JY ， Shinn YH ， et al . Reliability and validity of Vancouver Scar Scale and Withey score after syndactyly release ［J］. J Pediatr Orthop B ， 2022 ， 31 （ 6 ）： 603 - 607 . doi： 10.1097/BPB.000000 0000000983 http://dx.doi.org/10.1097/BPB.0000000000000983 .

Papachristos AJ ， Glover A ， Syawk M ， et al . Thyroidectomy in Australia 2022：lessons from 21，000 consecutive cases ［J］. ANZ J Surg ， 2022 ， 92 （ 7/8 ）： 1626 - 1630 . doi： 10.1111/ans.17783 http://dx.doi.org/10.1111/ans.17783 .

CampennìA ， Abran AM ， Verburg FA ， et al . The EANM guideline on radioiodine therapy of benign thyroid disease ［J］. EJNMM Imaging ， 2023 ， 50 （ 11 ）： 3324 - 3348 . doi： 10.1007/s00259-023-06274-5 http://dx.doi.org/10.1007/s00259-023-06274-5 .

Barillot I ， Azria D ， Lisbona A ， et al . External irradiation treatment process ［J］. Cancer Radiother ， 2022 ， 26 （ 1/2 ）： 20 - 28 . doi： 10.1016/j.canrad.2021.09.002 http://dx.doi.org/10.1016/j.canrad.2021.09.002 .

汤文生 . 经锁骨下入路腔镜甲状腺手术与传统颈部低领横弧形切口手术对甲状腺乳头状癌患者的影响［J］. 慢性病学杂志， 2025 ， 26 （ 12 ）： 1803 - 1806 . doi： 10.16440/J.CNKI.1674-8166.2025.2.12 http://dx.doi.org/10.16440/J.CNKI.1674-8166.2025.2.12 .

Gyldenkeme A ， Ivarsen A ， Nisted I ， et al . Impact on binocular visual function of small-incision lenticule extraction for high myopia ［J］. J Cataract Refract Surg ， 2021 ， 47 （ 4 ）： 430 - 438 . doi： 10.1097/j.jcrs. 0000000000000480 http://dx.doi.org/10.1097/j.jcrs.0000000000000480 .

De Vries LH ， Aykan D ， Lodewijk L ， et al . Outcomes of minimally invasive thyroid surgery - a systematic review and meta-analysis ［J］. Front Endocrinol （Lausanne）， 2021 ， 12 （ 2 ）： 719397 - 719399 . doi： 10.3389/fendo.2021.719397 http://dx.doi.org/10.3389/fendo.2021.719397 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Clinical efficacy and safety analysis of microsurgery combined with fluorescence navigation in the treatment of skull base meningiomas

Clinical efficacy of titanium clip therapy for colonic sessile-pedunculated polyps under transparent cap-assisted colonoscopy

Therapeutic effect of neurosurgical robot-assisted stereotactic puncture and drainage for brain abscess

Effect of endoscopic surgery via trans-axilloareolar sternocleidomastoid intermuscular approach for unilateral thyroid cancer

Construction and application effect of decision aid scheme for surgical methods of thyroid cancer patients

Related Author

DONG Hai-jun

GUO Jun-xia

LIANG Sheng

LI Hong-tao

GUO Shu-mei

XIE Jian-hong

CHEN Wei

RAN Xu

Related Institution

Pharmacy Department，Cangzhou Central Hospital

Department of Hematology，Handan First Hospital

Department of Neurosurgery，Handan Hospital of Integrated Traditional Chinese and Western Medicine

First Clinical Medical College， Gannan Medical University

Department of Gastroenterology，Jiujiang University Affiliated Hospital

⁰