全腔镜与开放手术治疗cT<sub>1</sub>N<sub>0</sub>甲状腺乳头状癌的临床对比研究

李景铧; 张帆; 张毅; 苑龙; 姜军

doi:10.16016/j.1000-5404.201901227

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全腔镜与开放手术治疗cT₁N₀甲状腺乳头状癌的临床对比研究

临床医学 | 更新时间：2026-01-09

- 全腔镜与开放手术治疗cT₁N₀甲状腺乳头状癌的临床对比研究
- Clinical comparison of total endoscopy and open thyroidectomy for cT1N0 thyroid papillary carcinoma
- 第三军医大学学报 2019年41卷第15期页码：1461-1467
- 作者机构：
- 作者简介：
- 基金信息：
  
  西南医院临床新技术项目资助(SWH2016YSCXZD-10)
- DOI：10.16016/j.1000-5404.201901227
  中图分类号：
- 收稿：2019-01-29，
  
  纸质出版：2019-08-15
- 稿件说明：
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李景铧, 张帆, 张毅, 等. 全腔镜与开放手术治疗cT₁N₀甲状腺乳头状癌的临床对比研究[J]. 第三军医大学学报, 2019,41(15):1461-1467.

Jinghua LI, Fan ZHANG, Yi ZHANG, et al. Clinical comparison of total endoscopy and open thyroidectomy for cT1N0 thyroid papillary carcinoma[J]. Journal of Third Military Medical University, 2019, 41(15): 1461-1467.
李景铧, 张帆, 张毅, 等. 全腔镜与开放手术治疗cT₁N₀甲状腺乳头状癌的临床对比研究[J]. 第三军医大学学报, 2019,41(15):1461-1467. DOI： 10.16016/j.1000-5404.201901227.

Jinghua LI, Fan ZHANG, Yi ZHANG, et al. Clinical comparison of total endoscopy and open thyroidectomy for cT1N0 thyroid papillary carcinoma[J]. Journal of Third Military Medical University, 2019, 41(15): 1461-1467. DOI： 10.16016/j.1000-5404.201901227.

摘要

Abstract

Objective

To explore the feasibility of totally endoscopic thyroidectomy (TET) for thyroid papillary carcinoma in cT

stage.

Methods

Clinical data of 287 patients with primary cT

thyroid papillary cancer underwent thyroidectomy in our hospital from March 2016 to June 2018 were collected and retrospectively analyzed

including 145 patients undergoing TET (TET group) and 142 patients by open thyroidectomy (OT group). The intraoperative conditions

complications

recurrence and cosmetic effect were compared between the 2 groups.

Results

There were no significant differences in the general data of the patients in the TET group and OT group

inclu

ding mean age (

=0.283)

sex ratio (

=0.344)

tumor size (

=0.265) and tumor distribution (

=0.872). In terms of surgical effects

no significant differences were observed in the numbers of central neck lymph node dissections (CNLN) (

=0.847) and metastatic lymph nodes (

=0.839) between the 2 groups for the patients with lateral lobectomy and lateral central neck dissection. The TET group had significantly smaller volume of intraoperative bleeding (

0.001)

and longer operation time (

0.001) when compared with the OT group. For those with bilateral lobectomy and lateral central neck dissection

there were no significant differences in the numbers of central neck lymph node dissections (

=0.092) and metastatic lymph nodes (

=0.241) between the 2 groups. The amount of intraoperative bleeding was smaller (

0.001) and the operation time were longer in the TET group (

0.001) than the OT group. For surgical complications

there were no significant differences in the incidences of temporary/permanent hyperparathyroidism and recurrent laryngeal nerve injury between the 2 group (

0.05). No hemorrhagic subcutaneous fluid or wound infection occurred in the TET group. The TET group had significantly better cosmetic effect than the OT group (

0.001). The patients were followed up for 6 to 30 months

and no recurrence was observed.

Conclusion

TET treatment is safe and feasible for cT1N0 thyroid papillary cancer. TET treatment might be an optional approach for the patients with cosmetic demand.

关键词

Keywords

references

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全腔镜与开放手术治疗cT1N0甲状腺乳头状癌的临床对比研究

Clinical comparison of total endoscopy and open thyroidectomy for cT1N0 thyroid papillary carcinoma

DOI：10.16016/j.1000-5404.201901227

摘要

Abstract

关键词

Keywords

references

全腔镜与开放手术治疗cT₁N₀甲状腺乳头状癌的临床对比研究