Efficacy of Transaxillary Approach Endoscopic Thyroid Surgery for the Treatment of Single-Sided Thyroid Cancer
10.12259/j.issn.2095-610X.S20231211
- VernacularTitle:经腋窝入路腔镜甲状腺手术治疗单侧甲状腺癌疗效分析
- Author:
Wei WANG
1
;
Qingxia YANG
;
Juanzhang LUO
;
Yahong WANG
;
Fuke WANG
;
Ruimei SUN
Author Information
1. 昆明医科大学第三附属医院/云南省肿瘤瘤医院头颈外二科,云南 昆明 650118
- Keywords:
Thyroid surgery;
Axillary approach;
Open surgery;
Minimally invasive;
Quality of life
- From:
Journal of Kunming Medical University
2023;44(12):65-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of endoscopic thyroid surgery through axillary approach in the treatment of unilateral papillary thyroid carcinoma.Methods A total of 135 patients admitted to Yunnan Cancer Hospital from April 2022 to November 2022 were selected.According to the surgical method,69 patients were in the endoscopic group and 66 patients were in the open surgery group.The clinical data,operation time,intraoperative blood loss,postoperative drainage volume,postoperative hospitalization stay,complications,cosmetic satisfaction,scar evaluation,postoperative swallowing pain and blood calcium,blood phosphorus,PTH levels of the two groups were observed.Results There were no significant differences in general data,pathological features,number of lymph node dissection,and perioperative complications between the two groups(P>0.05).The operation time and postoperative drainage volume in the endoscopic group were significantly higher than those in the open surgery group.The intraoperative blood loss,postoperative hospital stay,pain score,serum calcium,serum phosphorus,PTH levels and cosmetic satisfaction in the endoscopic group were significantly better than those in the open group(P<0.05).Conclusion Transaxillary approach endoscopic thyroid surgery for the treatment of single-sided papillary thyroid carcinoma is safe,feasible,and provides better protection of the parathyroid glands,postoperative swallowing pain,and cosmetic satisfaction.
