Application value of the endoscopic thyroidectomy in benign thyroid neoplasms by trans-thoracoareolar approach

ObjectiveTo compare the clinical efficacy between endoscopic thyroidectomy by trans-thoracoareolar approach and traditional thyroidectomy in the treatment of benign thyroid tumors.

MethodsThe clinical data in 90 benign thyroid tumor patients treated with operation were retrospectively analyzed.The patients were divided into the endoscopic group(30 cases treated with endoscopic thyroidectomy by trans-thoracoareolar approach) and traditional group(60 cases treated with traditional open thyroid surgery).Two groups were followed up for 3 months, and the operation time, intraoperative blood loss, drainage volume on the first day after surgery, postoperative hospitalization length, postoperative hospitalization costs, postoperative complications, pain score on the first day after surgery, and aesthetic satisfaction with incision were compared between two groups.

ResultsCompared with the traditional group, the operative time significantly prolonged(P < 0.01), the intraoperative blood loss and drainage volume on the first day after surgery significantly decreased(P < 0.01), the postoperative hospital stay significantly shortened(P < 0.01), the postoperative pain score on the first day significantly decreased(P < 0.01), and the hospital stay cost significantly increased in the endoscopic group(P < 0.01).All patients were successfully cured and discharged, and the difference of the postoperative complications between two groups was not statistically significant(P>0.05).During the period of following up, the postoperative incision satisfaction in endoscopic group was significantly better than that in traditional group(P < 0.01).

ConclusionThe endoscopic thyroidectomy by trans-thoracoareolar is safe and effective, and has the advantages of less intraoperative bleeding, short hospital stay, slight neck scar and high patient satisfaction.