Effects of different thyroid surgery methods on body stress

ObjectiveTo investigate the effects of endoscopic thyroid surgery via thoraco mammary approach approach, axillary approach and conventional open thyroid surgery on stress trauma.

MethodsNinety patients undergoing thyroid surgery were divided into in the thoraco mammary group(n=28), axillary group(n=32) and conventional group(n=30).The levels of white blood cell(WBC), blood glucose(Glu), C reactive protein(CRP) and adreno-cortico-tropic-hormone(ACTH) in the three groups were compared before operation, 1 day and 3 days after operation.

ResultsThere was no significant difference in the levels of WBC, CRP, Glu, ACTH before operation, and Glu at 3 days after operation among the three groups(P>0.05).The levels of WBC, CRP, Glu and ACTH in the three groups at 1 day and 3 days after operation were higher than those before operation(P < 0.05).The levels of WBC, CRP, Glu and ACTH in the three groups at 1 day after operation were higher than those at 3 days after operation(P < 0.05).At 1 day and 3 days after operation, the levels of WBC, CRP and ACTH gradually decreased in the conventional group, axillary group and thoraco mammary group(P < 0.01).

ConclusionsThe endoscopic thyroid surgery has lower effects on stress than open thyroid surgery.