General surgery successfully implemented 2 cases of laparoscopic meridian through unilateral axillary thyroid thyroid removal

Recently, under the guidance of Professor Cao Yan, the second affiliated hospital general surgery, under the guidance of Professor Cao Yan, was cooperated with the attending physician and Dr. Wang Jiazhong, respectively, and implemented a full -sized unilateral axillary thyroid resection for two patients with unilateral thyroid cancer patients. After the literature retrieval and Cha Xin, there are no different surgical reports at home and abroad.

Both patients are young women. The pre -surgery prompts a unilateral thyroid nipple cancer with a unilateral thyroid nodule. According to the suggestion of the guideline, the plan is planned to be combined with the lymph node scanning of the central area of ​​the affected side. Because patients have strong beauty demand and have poor oral hygiene conditions, breastfeeding needs may be available in the later period, so laparoscopic surgery is performed through armpits. The surgery was smooth. During the postoperative review, the thyroid was confirmed through the detection of ultrasound and serum thyroid globulin. During the following January after surgery, patients did not have complications such as hoarseness, hands and feet twitching.

Hacroscopy is a new surgical method that has appeared in recent years. Due to the characteristics of no scarred neck, it meets the patient's beauty needs and reduces the psychological pressure of the patient. The operation of surgical operations can better identify and protect important structures such as laryngeal nerve, upper throat nerve, and thyroid gland, reduce surgical complications, and improve the quality of life. In recent years, many random control research and expert consensus pointed out that for some chosen cases, whether it is benign or evil thyroid diseases, laparoscopic surgery can achieve the same surgical effect as traditional surgery. At present, the surgical method is based on the different main surgical types of breast milk, armpit approach, meridian port, and double areola and two armpits.

The axillary approach is an important surgical method of laparoscopic thyroid gland. It was first completed by South Korea Chung and established a complete set of airless surgical mode. This model is mainly based on the earliest Korean team's plan. This technique is considered to have a wider and clearer vision advantage, and at the same time has no scar on the neck to achieve a better beauty effect. For doctors from the thyroid side path, it is more conducive to identifying the peripheral tissue of thyroid gland, thereby accurately dissecting the throat nerves and protecting the thyroid gland. Random control research preliminary that the surgical method is the same as open thyroid resection, only extending the surgery time in good and malignant thyroid resection, but it can reduce postoperative pain, and there is no difference in other complications. However, the traditional tranquility thyroid resection needs to be performed at a unilateral armpit with a length of about 6cm long to pull it into a dedicated hook for traction. Most of the time, it needs to add an additional 5mm poking card for operation. Traditional concepts believe that through unilateral axillary thyroid resection, due to its side approach, it is inevitable to face the obstruction of the trachea, which makes it difficult to remove the sidewalk glandular leaf. Therefore, at this stage, the surgical method of bilateral armpits or other procedures is used to achieve fully resection of the thyroid gland.

In recent years, under the leadership of General Surgery, under the leadership of Yang Wenbin, the surgical laparoscopic technology has flourished and the level has continued to improve. Now there have been nearly hundreds of laparoscopic thyroid surgery such as ease, oral mouths, and axillary circuits. On this basis, the team of Professor Cao Yan and Liu Yang had previously taken the lead in using the "three -hole method" for axillary thyroid removal surgery. This technology further reduced surgical scars. There is no team in China to report the same operation in China.

In response to the difficulty of bilateral surgery on the underarm path, Professor Cao Yan's team members continued to make progress and encourage the difficulties with the support and encouragement of Director Yang Wenbin. Full cutting can become impossible. A few days ago, both patients completed the monthly follow -up after at least once, and the curative effect was satisfactory. This case is found to be found through the literature search, and no same surgery reports have been seen at home and abroad. After learning the news, Professor HODIN, the current chairman of the U.S. endocrinology and Harvard University, highly evaluated the surgery and showed a strong interest. Emailing to Associate Professor Liu Yang asked to watch the surgery video.

The completion of this case has achieved two major breakthroughs and improvements on existing technologies. First: This technology has been marked by the unilateral axillary thyroid cut into possible, and overcomes the technical difficulties of the tracheal observation of the side glands, which proves the feasibility of the unilateral axillary thyroid thyroid cut. Second: This operation is completed by full -moboscopic technology, which further reduces surgical incisions, which is smaller and more beautiful than the existing classic ligament surgery.

The successful implementation of all -side armpits in the whole laparoscopy through the unilateral armpit of the road, marked that the general surgery of our hospital is in the field of laparoscopic thyroid surgery, and has stood at the forefront of the international international. At the same time, this surgery also has a vital role in the historical development of laparoscopic thyroid surgery, and may lead the improvement of laparoscopic thyroid surgery in the future to promote the development of laparoscopic thyroid surgery.

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