Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2021  |  Volume : 17  |  Issue : 5  |  Page : 1248-1252

Comparing endoscopic thyroidectomy using the breast approach and conventional open thyroidectomy: A retrospective analysis


1 Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
2 Department of General Surgery, The First Affiliated Hospital of Shandong First Medicinal University, Jinan, Shandong, China
3 Department of Medical Ultrasound, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, China

Correspondence Address:
Hongqiang Chen
Department of General Surgery, The First Affiliated Hospital of Shandong First Medicinal University, Jinan, Shandong
China
Rongzhan Fu
Department of General Surgery, The First Affiliated Hospital of Shandong First Medicinal University, Jinan, Shandong
China
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcrt.jcrt_707_21

Rights and Permissions

Aims: Endoscopic thyroidectomy (ET) using the breast approach and conventional open thyroidectomy (OT) are effective approaches to treating thyroid tumors. This study evaluates the effectiveness of ET and OT regarding safety, cosmetic effects, and feasibility. Subjects and Methods: Four hundred and fifty-six patients who underwent thyroidectomy in our department from January 2019 to August 2020 were included in this study. Based on the intraoperative rapid pathology, all patients with papillary thyroid carcinoma underwent unilateral thyroid lobectomy and central neck lymph node dissection. Whereas all benign patients underwent unilateral thyroid lobectomy. Differences in various factors such as clinical characteristics, operation time, postoperative drainage volume, parathyroid hormone (PTH) levels, calcium (Ca) levels, total number of central lymph nodes resected, the number of metastatic central lymph nodes resected, hospital duration, hospitalization costs, and cosmetic effects were compared in each group. Results: Baseline characteristics among the four groups were similar, except for patient age and tumor size. Patients in the malignant ET group were younger than those in the malignant OT group with smaller tumors (P < 0.05). There were no significant differences between the OT and ET groups in postoperative Ca levels, PTH levels, the total number of lymph nodes resected, and the number of metastatic central lymph nodes resected. Conclusions: Compared with conventional OT, ET is a feasible, practical, and safe procedure with excellent cosmetic benefits.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed276    
    Printed4    
    Emailed0    
    PDF Downloaded39    
    Comments [Add]    

Recommend this journal