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优于标准的喉返及喉上神经监测技术在腔镜及机器人甲状腺手术中的拓展应用

  • 赵文新 ,
  • 黄其健 ,
  • 张立永 ,
  • 蔡少俊
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  • 1.福建医科大学附属协和医院 a.甲状腺外科,b.麻醉科
    2.福建省甲状腺恶性肿瘤精准化诊疗临床医学研究中心,福建 福州 350001
赵文新,E-mail: zhaowx@fjmu.edu.cn

收稿日期: 2024-12-26

  网络出版日期: 2025-04-25

基金资助

福建省科技创新联合资金项目(2023Y9190);福建省科技创新平台建设计划项目(2022Y2006)

Expanded application of superior standard recurrent laryngeal nerve and superior laryngeal nerve monitoring techniques in endoscopic and robotic thyroid surgery

  • Zhao Wenxin ,
  • Huang Qijian ,
  • Zhang Liyong ,
  • Cai Shaojun
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  • 1a. Department of Thyroid Surgery, b. Department of Anesthesiology, Fujian Medical University Union Hospital
    2. Clinical Research Center for Precision Management of Thyroid Cancer of Fujian Province, Fujian Fuzhou 350001, China

Received date: 2024-12-26

  Online published: 2025-04-25

摘要

神经监测技术的标准化开展可极大程度上减少手术中神经损伤概率,尤其在甲状腺腔镜及机器人手术中的应用可提高手术安全性。在标准化操作基础上,笔者团队对该技术进行创新、扩展。随着经验的积累,系统总结并归纳为操作指导口令,本文结合图片、视频等资料介绍神经监测技术的扩展应用,以提高腔镜及机器人甲状腺手术的安全性及流畅度。

本文引用格式

赵文新 , 黄其健 , 张立永 , 蔡少俊 . 优于标准的喉返及喉上神经监测技术在腔镜及机器人甲状腺手术中的拓展应用[J]. 外科理论与实践, 2025 , 30(01) : 13 -16 . DOI: 10.16139/j.1007-9610.2025.01.03

Abstract

The standardized implementation of intraoperative nerve monitoring technology significantly minimizes surgical injury risks. Its application in endoscopic and robotic thyroid surgeries enhances procedural safety. Building upon standardized protocols, our team has innovated technical extensions through accumulated clinical experience, systematically formulated as operational guidelines. This article elucidated these technical extensions through pictures and videos, aiming to improve the safety and procedural fluency of endoscopic and robotic thyroidectomies.

参考文献

[1] CHEN D W, LANG B H H, MCLEOD D S A, et al. Thyroid cancer[J]. Lancet, 2023, 401(10387):1531-1544.
[2] LIU R, CHEN C, HUANG X, et al. Ultrasonography of extrathyroidal diseases mimicking intrinsic thyroid lesions[J]. Ultrasound Q, 2019, 35(3):301-307.
[3] FAGIN J A, KRISHNAMOORTHY G P, LANDA I. Pathogenesis of cancers derived from thyroid follicular cells[J]. Nat Rev Cancer, 2023, 23 (9):631-650.
[4] DENG Y J, LI H T, WANG M, et al. Global burden of thyroid cancer from 1990 to2017[J]. JAMA Netw Open, 2020, 3(6):e208759.
[5] HOWLADER N, NOONE A M, KRAPCHO M, et al. SEER cancer statistics review,1975-2012[J]. National Cancer Institute, 2013.
[6] 王存川, 陈鋆, 胡友生, 等. 内镜甲状腺切除术150例[J]. 中华外科杂志, 2004, 42(11):675-677.
  WANG C C, CHEN J, HU Y S, et al. Endoscopic thyroi-dectomy with 150 cases[J]. Chin J Surg, 2004, 42(11):675-677.
[7] 田文, 姚京, 郗洪庆, 等. 中国腔镜甲状腺手术20年回顾与展望[J]. 中华普外科手术学杂志(电子版), 2021, 15(6):598-602.
  TIAN W, YAO J, XI H Q, et al. Review and prospect of endoscopic thyroid surgery in China in 20 years[J]. Chin J Oper Proced Gen Surg(Electronic Edition), 2021, 15(6):598-602.
[8] 赵诣深, 赵紫涵, 孙辉. 甲状腺术中神经监测技术的沿革,创新与规范[J]. 临床外科杂志, 2020, 28(3):217-220.
  ZHAO Y S, ZHAO Z H, SUN H. Evolution, innovation and standardization of intraoperative neuromonitoring techniques in thyroid surgery[J]. J Clin Surg, 2020, 28(3):217-220.
[9] 刘晓莉, 孙辉, 郑泽霖, 等. 甲状腺术中喉返神经监测技术的应用与进展[J]. 中国普通外科杂志, 2009, 18(11):4.
  LIU X L, SUN H, ZHENG Z L, et al. Application and progress of intraoperative laryngeal recurrent nerve monitoring techniques in thyroid surgery[J]. Chin J Gen Surg, 2009, 18(11):4.
[10] DIONIGI G, KIM H Y, WU C W, et al. Neuromonitoring in endoscopic and robotic thyroidectomy[J]. Updates Surg, 2017, 69(2):171-179.
[11] EUI S S. Intraoperative neuromonitoring during robotic or endoscopic thyroidectomy[J]. J Neuromonit Neurophysiol, 2023, 3(2):101-104.
[12] 田文, 费阳, 郗洪庆. 甲状腺手术中新技术的合理应用及展望[J]. 中国实用外科杂志, 2018, 38(6):600-604.
  TIAN W, FEI Y, XI H Q, et al. Reasonable application and prospect of new technology in treatment of thyroid disease[J]. Chin J Pract Surg, 2018, 38(6):600-604.
[13] 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. 中国甲状腺及甲状旁腺手术中神经监测指南(2023版)[J]. 中国实用外科杂志, 2023, 43(1):23-33.
  Chinese Thyroid Association, College of Surgeons, Chinese Medical Doctor Association; Chinese Research Hospital Association Thyroid Disease Committee. Chinese guidelines of intraoperative neural monitoring during thyroid and parathyroid surgery(2023 edition)[J]. Chin J Pract Surg, 2023, 43(1):23-33.
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