A study on the use of modified thyroid surgical pull-hook stent in the inflatable method of transaxillary radical thyroid cancer surgery
GUO Chao-hui,JIANG Huo-da,HUANG Cai-hong
Abstract:
Objective To study the value of a modified thyroid surgical pull-hook stent in the inflatable method of transaxillary radical thyroid cancer (TGC) surgery. Methods A total of 106 patients with TGC were selected from April 2021 to November 2023, and were divided into a control group and an experimental group of 53 cases each according to the statistical randomization method. The control group was treated with axillary radical TGC by the inflation method under the traditional thyroid surgical hook, and the experimental group was treated with axillary radical TGC by the inflation method under the modified thyroid surgical hook stent.Comparison of surgery time consuming, hospitalization length, surgical bleeding and postoperative drainage between the two groups; comparison of preoperative and postoperative levels of parathyroid hormone (PTH) and thyroglobulin (Tg) as well as postoperative pain [visual analog score (VAS), numeric pain score (NRS)] between the two groups; and comparison of satisfaction with the appearance of the incision as well as the number of cases of complication between the two groups. Results Surgical time consuming and hospitalization length were shorter in the test group than in the control group (p<0.05), and surgical bleeding, as well as the number of cases of postoperative drainage and postoperative complications, were less than in the control group (p<0.05).Postoperatively, VAS, NRS score and Tg level of the experimental group were lower than that of the control group(p<0.05), and the satisfaction of incision appearance was higher than that of the control group (p<0.05). Theincidence of postoperative complications in the experimental group was lower than that in the control group(5.66% vs 18.87% , p<0.05). Conclusion Themodified thyroid surgical pull-hook stent proposed in this study can be used to shorten the duration of surgery, reduce injury and pain, facilitate postoperative recovery, and minimize postoperative complications during pneumatic transaxillary TGC radical surgery.
