Study on effect of thyroidectomy by exposing the upper pole of thyroid via cervical strap muscles approach

CHU Zhaoxin; QIAN Yongxiang; YAN Jianming; CHEN Jie; CHEN Xiangbiao; ZHU Peipei; PU Chenchen; YOU Peijue

doi:10.7619/jcmp.20201733

Journal of Clinical Medicine in Practice > 2021 > 25(6): 38-41. > DOI: 10.7619/jcmp.20201733

CHU Zhaoxin, QIAN Yongxiang, YAN Jianming, CHEN Jie, CHEN Xiangbiao, ZHU Peipei, PU Chenchen, YOU Peijue. Study on effect of thyroidectomy by exposing the upper pole of thyroid via cervical strap muscles approach[J]. Journal of Clinical Medicine in Practice, 2021, 25(6): 38-41. DOI: 10.7619/jcmp.20201733

Citation:

PDF (573 KB)

Study on effect of thyroidectomy by exposing the upper pole of thyroid via cervical strap muscles approach

Department of General Surgery, Taicang Hospital Affiliated to Soochow University, Taicang City First People's Hospital of Jiangsu Province, Taicang, Jiangsu, 215400

More Information

Received Date: December 19, 2020
Available Online: April 08, 2021
Published Date: March 27, 2021

Graphical Abstract

Abstract

Abstract

Objective To explore effect of thyroidectomy by exposing the upper pole of thyroid via cricothyroid muscle approach versus the cervical strap muscle approach.
Methods A total of 42 patients with thyroid diseases who need surgeries were selected as research objects. According to different surgical approaches, they were divided into cervical strap muscle approach group (n=20) and cricothyroid muscle approach group (n=22). The degree of exposure of upper pole of thyroid gland, exposure rate of the superior laryngeal nerve, operation time, intraoperative blood loss, and occurrence of postoperative complications in the two groups were compared.
Results The exposure degree of the upper thyroid pole and exposure rate of the superior laryngeal nerve in the cervical strap muscle approach group were better than those cricothyroid muscle approach group(P < 0.05). There were no significant differences in operation time, intraoperative blood loss, and complications between the two groups (P>0.05).
Conclusion Compared with thyroidectomy via the cricothyroid approach, thyroidectomy via the cervical strap muscle approach has a better exposure effect on the upper thyroid pole, a higher exposure rate of the superior laryngeal nerve, and has less postoperative complications.
- thyroidectomy,
- surgical approach,
- cervical strap muscles approach,
- external branch of superior laryngeal nerve

FullText(HTML)

References (14)

References

[1]	高明. 甲状腺结节和分化型甲状腺癌诊治指南[J]. 中国肿瘤临床, 2012, 39(17): 1249-1272. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZL201217004.htm
[2]	MILLER K D, FIDLER-BENAOUDIA M, KEEGAN T H, et al. Cancer statistics for adolescents and young adults, 2020[J]. CA Cancer J Clin, 2020, 70(6): 443-459. doi: 10.3322/caac.21637
[3]	高明, 郑向前. 甲状腺癌过去与未来十年[J]. 中国肿瘤临床, 2018, 45(1): 2-6. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZL201801002.htm
[4]	BRAY F, FERLAY J, SOERJOMATARAM I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424. doi: 10.3322/caac.21492
[5]	YOUNES N A, BADRAN D H. The cricothyroid space: a guide for successful thyroidectomy[J]. Asian J Surg, 2002, 25(3): 226-231. doi: 10.1016/S1015-9584(09)60180-9
[6]	王超, 张松涛, 翟翼飞, 等. 经带状肌间入路处理甲状腺上极55例分析[J]. 中国实用外科杂志, 2017, 37(9): 1013-1015. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201709019.htm
[7]	张立功, 钱军, 李志祥, 等. 不同手术入路显露甲状腺喉上神经对比研究[J]. 中国实用外科杂志, 2019, 39(3): 240-242. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201903013.htm
[8]	中华医学会外科学分会, 赵玉沛, 田文, 等. 甲状腺手术切口入路、缝合技术与缝合材料选择中国专家共识(2018版)[J]. 中国实用外科杂志, 2019, 39(1): 34-38. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201901009.htm
[9]	朱精强, 田文, 苏安平. 甲状腺围手术期甲状旁腺功能保护指南(2018版)[J]. 中国实用外科杂志, 2018, 38(10): 1108-1113. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201810003.htm
[10]	中国医师协会外科医师分会甲状腺外科医师委员会, 中国研究型医院学会甲状腺疾病专业委员会, 中国医学装备协会外科装备分会甲状腺外科装备委员会. 甲状腺及甲状旁腺术中喉上神经外支保护与监测专家共识(2017版)[J]. 中国实用外科杂志, 2017, 37(11): 1243-1249. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201711020.htm
[11]	廖海星. 甲状腺切除术中带状肌侧径路应用的初步报告[J]. 实用医学杂志, 1997, 13(12): 789-790. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ199712010.htm
[12]	张浩, 刘金钢. 努力减少甲状腺手术并发症[J]. 中国实用外科杂志, 2018, 38(6): 596-599. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201806002.htm
[13]	CERNEA C R, FERRAZ A R, NISHIO S, et al. Surgical anatomy of the external branch of the superior laryngeal nerve[J]. Head Neck, 1992, 14(5): 380-383. doi: 10.1002/hed.2880140507
[14]	CERNEA C R, NISHIO S, HOJAIJ F C. Identification of the external branch of the superior laryngeal nerve(EBSLN)in large goiters[J]. Am J Otolaryngol, 1995, 16(5): 307-311. doi: 10.1016/0196-0709(95)90058-6

[1]	ZHANG Pan, WEI Yuanyuan, WANG Hao, WANG Xianwei, LI Yanqing, SUN Xue. Effect of Callicarpa nudiflora on wound healing and PI3K/AKT/mTOR pathway by regulating M2 macrophage polarization in rats with diabetic foot ulcer[J]. Journal of Clinical Medicine in Practice, 2025, 29(4): 44-49, 54. DOI: 10.7619/jcmp.20243269
[2]	MUTALIFU Muredili, AIZEZI Abula, KUYAXI Pilidong, ZHANG Weina, YONG Jun. MicroRNA-299-3p regulates proliferation, invasion and migration of nasopharyngeal carcinoma through phosphatidylinositol 3-kinase/protein kinase B pathway[J]. Journal of Clinical Medicine in Practice, 2025, 29(3): 6-10, 16. DOI: 10.7619/jcmp.20243658
[3]	WU Lili, LIN Jingtao, ZHANG Yuancheng, ZHONG Peimin, TANG Jinsong, WANG Haibo. Mechanisms of mesenchymal stem cell-derived extracellular vesicles in improvement of renal injury in rats with diabetic nephropathy by regulating mammalian target of rapamycin/p70 ribosome protein S6 kinase/coiled-coil myosin-like Bcl-2-interacting protein pathway[J]. Journal of Clinical Medicine in Practice, 2024, 28(10): 51-57. DOI: 10.7619/jcmp.20232784
[4]	WANG Haitong, LIU Jianliang. Mechanism of naringin on retinal microvascular endothelial cells injury based on adenosine-monophosphate-activated protein kinase/mammalian target of rapamycin pathway[J]. Journal of Clinical Medicine in Practice, 2024, 28(3): 23-28. DOI: 10.7619/jcmp.20233233
[5]	LU Baode, WEI Liuxing, LI Zhenjie, LIN Zhidi, HUANG Yongping. Effects and mechanism of long non-coding RNA LINC02178 on proliferation, invasion and migration of bladder cancer cells[J]. Journal of Clinical Medicine in Practice, 2023, 27(10): 36-41. DOI: 10.7619/jcmp.20223660
[6]	YI Jinling, Tubikezi·YIBILI, Gulihumaer·AINIWAER, LA Xiaolin. Effect of TAM family receptor tyrosine kinases on signaling pathway of mammalian target of rapamycin in patients with endometriosis[J]. Journal of Clinical Medicine in Practice, 2023, 27(2): 7-12, 16. DOI: 10.7619/jcmp.20223087
[7]	WEN Bo, LIU Zixiang, ZHANG Ziyan, CHEN Jiawei, WANG Zhenglin, ZHOU Shaobo. Effect of overexpression of heparanase on proliferation of gallbladder cancer cells and PI3K/AKT signaling pathway[J]. Journal of Clinical Medicine in Practice, 2022, 26(2): 56-61. DOI: 10.7619/jcmp.20213823
[8]	WANG Hao, ZHAO Wei, SHI Lei. Expression of phosphatase and tension homology deleted on chromosome ten and phospho-protein kinase B protein in gastrointestinal stromal tumor and their effects on the prognosis of patients[J]. Journal of Clinical Medicine in Practice, 2021, 25(18): 53-59. DOI: 10.7619/jcmp.20210835
[9]	LIU Xuejian, WU Xia, LI Yuhua. Influence of CD47 expression regulated by PI3K/AKT pathway on the tumor invasiveness of glioblastoma[J]. Journal of Clinical Medicine in Practice, 2020, 24(7): 56-61. DOI: 10.7619/jcmp.202007017
[10]	CHEN Tong. Correlation between vascular endothelial growth factor, mammalian target of rapamycin and clinical stage, prognosis in patients with nasopharyngeal carcinoma[J]. Journal of Clinical Medicine in Practice, 2016, (7): 58-60. DOI: 10.7619/jcmp.201607017

Cited By

Cited by

Periodical cited type(3)

1.	纪会荣，曹宇鹏，师光永. CT在肺部小结节临床诊断中的应用价值. 影像研究与医学应用. 2024(08): 102-104 .
2.	刘旭俊，陈代标，黄春嘉. 不同性质孤立性肺小结节在高分辨率CT下边缘特征及内部特征的差异性分析. 现代医用影像学. 2024(06): 1018-1021 .
3.	刘丽，范春辉，温明毅，李存琪，王武章. 分析肺内小结节诊断期间行双针法CT引导下经皮肺穿刺活检的价值. 中国医疗器械信息. 2023(14): 25-27 .

Other cited types(0)

Get Citation

PDF

XML

Article views (235) PDF downloads (10) Cited by(3)

Turn off MathJax

Article Contents

Abstract

References

Study on effect of thyroidectomy by exposing the upper pole of thyroid via cervical strap muscles approach

Abstract

References

Related Articles

Cited by

Periodical cited type(3)

Other cited types(0)

Catalog

Study on effect of thyroidectomy by exposing the upper pole of thyroid via cervical strap muscles approach

Abstract

References

Related Articles

Cited by

Periodical cited type(3)

Other cited types(0)

Catalog

Export File

Citation

Format

Content