Application analysis of totally endoscopic surgery and Miccoli surgery for papillary thyroid microcarcinoma
10.11659/jjssx.10E015104
- VernacularTitle:完全腔镜手术与 Miccoli 手术治疗甲状腺微小乳头状癌的应用分析
- Author:
Yiping CHEN
;
Lifang BAI
;
Zhenqiang HUANG
- Publication Type:Journal Article
- Keywords:
totally endoscopic surgery;
Miccoli surgery;
papillary thyroid microcarcinoma
- From:Journal of Regional Anatomy and Operative Surgery
2016;25(9):687-690
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effect of totally endoscopic surgery and Miccoli surgery for papillary thyroid microcarcinoma. Methods Totally 64 patients with papillary thyroid microcarcinoma from April 2013 to April 2014 in our hospital were divided into the ob-servation group and the control group according to a random number table.And the intraoperative and postoperative situation of the two groups were compared.Results The number of lymph node dissection,postoperative hospital stay,hospital costs of the two groups had no sig-nificant difference (P >0.05).The blood loss,operative time,drainage time,amount of drainage,incision length,time of postoperative recov-ery of the observation group were significantly less than those of the control group with statistical significance (P <0.05).But the cosmetic score of observation group after operation was lower than that of the control group,and there was a significant difference (P <0.05).Postop-erative pain grade of the observation group was better than the control group with statistical significance (P <0.05).The complication rate of control group was significantly higher than the observation group (P <0.05).Conclusion Miccoli surgery for papillary thyroid microcarci-noma has more advantages compared with totally endoscopic surgery in terms of blood loss,operative time,drainage time,amount of drainage, incision length,time of postoperative recovery,and degree of pain.Moreover,it has a lower complication rate and high security,which should be the first choice in clinic surgery.
