Effect evaluation of endoscopic surgery for papillary thyroid microcarcinoma through axillary approach without inflation

ObjectiveTo explore the surgical experience and curative effects of the axillary approach without inflation in the treatment of papillary thyroid microcarcinoma.

MethodsA total of 80 patients with papillary thyroid microcarcinoma were divided into the endoscope group(35 cases treated with endoscopic surgery) and open group(45 cases treated with open surgery).The perioperative data, complications and following-up data were compared between two groups.

ResultsThe average age in endoscope group was younger than that in open group(P<0.05), the average operation time and amount of drainage fluid on the first day after the operation in endoscope group were more than those in open group(P<0.01), and the intraoperative blood loss in endoscope group was less than that in open group(P<0.01).The neck VAS score in endoscope group was lower than that in open group on the third day after operation(P<0.05).The difference of the average number of lymph nodes after central dissection between two groups was not statistically significant(P>0.05).There was no statistical significance in the postoperative hospital stay and postoperative complications between two groups(P>0.05).The postoperative cosmetic satisfaction in endoscope group was higher than that in open group(P<0.01).All cases were followed up for more than 3 months, and no recurrence or metastasis case was found.

ConclusionsThe axillary approach without inflation in the treatment of papillary thyroid microcarcinoma is safe and feasible, has better cosmetic effects, and which is comparable to open surgery.