Study of the intermediate cutting approach during the total thyroidectomy surgery
10.3760/cma.j.issn.1008-6315.2013.10.024
- VernacularTitle:甲状腺全切除术中间入路的临床效果观察
- Author:
Hua ZHANG
;
Minghua WANG
;
Geng WANG
- Publication Type:Journal Article
- Keywords:
Total;
thyroidectomy;
Intermediate;
approach;
Recurrent;
laryngeal;
nerve;
injure;
Hypoparathyroidism
- From:
Clinical Medicine of China
2013;29(10):1081-1084
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of intermediated cutting approach in the total thyroidectomy.Methods The clinical data of patients with total thyroidectomy from January 2009 to December 2011 were analyzed retrospectively.Patients in group A(n =134) were underwent thyroidectomy through intermediate approach,whereas patients in Group B (n =187) were underwent traditional total thyroidectomy.The analysis index included operation periods,operative bleeding amount,the incidence of hypocalcemia and rate of laryngeal nerve injure.Results The operation periods in Group A was shorter than that in group B ((65.4 ± 8.7) second vs.(90.1 ± 11.3) min,t =22.195,P ＜ 0.01).The amount of operative bleeding in group A was,less than that in group B ((20.5 ± 5.7) ml vs.(50.8 ± 11.4) ml,t =31.294,P ＜ 0.01).The incidence rates of temporary recurrent laryngeal nerve injure and the temporary hypocalcemia rate in group A and group B were (0.74％ vs.5.88％,10.44％ vs.24.59％ respectively,x2 =5.72,10.28 respectively,P ＜ 0.05).No permanent hypoparathyroidism or permanent recurrent laryngeal nerve injure case occurred in both groups.Conclusion Intermediate cutting approach was an effective and safe method in terms of total thyroidectomy.
