提高经腋窝腔镜甲状腺手术安全性的关键技术——膜解剖  

Key techniques to enhance the safety of transaxillary endoscopic thyroidectomy:membrane anatomy

作　　者：葛军娜[1] 雷尚通[1] GE Jun-na;LEI Shang-tong(Department of General Surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院普通外科,广东广州510515

出　　处：《中国实用外科杂志》2025年第1期89-94,共6页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金项目(No.82373366);广东省自然科学基金项目(No.2024A1515013212);广州地区临床特色项目(No.2023P-TS02)。

摘　　要：近20年,腔镜甲状腺手术发展迅速,多种入路甲状腺手术各具特色及优势。目前,近代外科学进入基于膜解剖的功能性根治性器官切除的第三发展阶段。如何在腔镜甲状腺手术中实现膜解剖是腔镜甲状腺外科所面临的机遇和挑战。甲状腺系膜切除的理论是未来甲状腺外科发展的重要方向,是提高腔镜甲状腺手术安全性的关键技术。Over the past two decades,endoscopic thyroid surgery has developed rapidly,with various surgical approaches offering distinct characteristics and advantages.Currently,the introduction of functionally radical organ resection techniques based on fascial anatomy has propelled modern surgery into its third phase of development.Achieving fascial anatomy in endoscopic thyroid surgery presents both opportunities and challenges for endoscopic thyroid surgery today.The theory of mesothyroid dissection is the future development direction of thyroid surgery,and the mesothyroid dissection is the key technology to improve the safety of endoscopic thyroid surgery.

关 键 词：甲状腺系膜切除术 膜解剖 经腋窝无充气腔镜甲状腺手术 

分 类 号：R6[医药卫生—外科学]