Comparison of the surgical stress between endoscopic thyroidectomy via anterior chest approach and conventional thyroidectomy
10.3760/cma.j.issn.1673-0860.2010.11.006
- VernacularTitle:经胸前入路无注气内镜下甲状腺手术与传统手术创伤比较的随机对照研究
- Author:
Xing LU
1
;
Xiao-Ming HUANG
;
Wei SUN
;
Wei-Wen LIANG
;
Qian CAI
Author Information
1. 郑州大学第二附属医院
- Keywords:
Endoscopy;
Thyroidectomy;
Randomized controlled trials
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2010;45(11):895-898
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the difference in surgical stress between gasless endoscoic thyroidectomy through anterior chest approach and conventional thyroidectomy. Methods The patients with thyroid nodules who would undergo thyroidectomy between November 2006 and February 2008 in Department of Otorhinolaryngology Head and Neck Surgery, Second Affiliated Hospital of Sun Yat-sen University, were randomly divided into gasless endoscopic thyroidectomy group or conventional thyroidectomy group, with 25 cases and 22 cases respectively. Before and after surgery, white blood cell count( WBC), serum C-reactive protein(CRP) and interleukin-6(IL-6) were measured to assess the surgical stress response. Results At 12 h, 24 h and 48 h after surgery, no significant difference was found between the two groups in WBC (t =- 0. 172, 1. 774 and 2. 039 respectively, P ＞ 0.05), serum CRP ( t = - 0. 927, - 1. 701 and - 1. 813,P＞0.05)and IL-6 (t =0.098, -2.019 and -1. 121, P＞0.05). Conclusion The stress response of gasless endoscopic thyroidectomy is similar with that of conventional thyroidectomy.
