Comparison of endoscopic monolateral anterior chest approach and conventional approach on thyroid bilateral gland lobe disease
10.3760/cma.j.issn.1673-0860.2009.11.010
- VernacularTitle:甲状腺双侧腺叶病变单侧胸前人路内镜手术与传统手术对比研究
- Author:
Qian CAI
1
;
Xiao-Ming HUANG
;
Wei SUN
;
Yi-Qing ZHENG
;
Xing LU
;
Ming-Ming GUO
;
Bin CHEN
;
Fa-Ya LIANG
;
Ping HAN
Author Information
1. 中山大学附属第二医院
- Keywords:
Endoscopy;
Thyroidectumy;
Comparative study
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2009;44(11):926-929
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study on thyroid bilateral gland lobe disease with endoscopic monolateral anterior chest approach. Methods Twenty patients experienced thyroid bilateral gland lobe surgery with endoscopic monolateral anterior chest approach;24 experienced conventional surgery simultaneously and were enrolled in control group. Two groups were compared at surgical style, complications, surgical time, length of stay in hospital, incision cosmetic result and incision pain etc. Criteria of patients selected for thyroid bilateral gland lobe surgery with endoscopic monolateralanterior chest approach: with no surgical history of thyroid or other neck-related diseases and no chemotherapy; diagnosed with benign tumor according to presurgery CT result and thyroid functional examination. Diameter of tumor on both sides should be smaller than 4 cm, one side smaller than 2 cm, located at lower middle part of gland lobe and near to glandsurface. Results Patients in both groups matched in age and sex; scorings on surgical style, hospital stay, postoperative drainage, and postoperative pain were not significantly distinctive. Endoscopic group had less bleeding volumm than conventional group during surgery, better cosmetic results, but longer surgical duration and higher cost of hospitalization. Both groups occurred no permanent glottic paralysis and hypocalcemia, norecurrence. Endoscopic group had one case ecchymoma; one case temporary glottic paralysis; both recoveredin one month. Complication incidence in both groups was not significantly distinctive(x~2=2.514,P=0.201).Conclusions Gasless endoscopic monolateral anterior chest approach can well treat selected thyroid bilateral gland lobe disease and with a better cosmetic result than conventional surgery.
