Study on comparison between video-assisted thyroidectomy and conventional thyroidectomy

VernacularTitle:腔镜辅助与传统开放甲状腺切除术的对比研究
Author: Jianzhong DI ; Xiaodong HAN ; Weijie LIU ; Youben FAN ; Yu WANG ; Pin ZHANG
Publication Type:Journal Article
Keywords: Video-assisted thyroidectomy; Thyroid disease; Open operation
From: Journal of Endocrine Surgery 2009;3(6):396-398
CountryChina
Language:Chinese
Abstract: Objective To study the safety, surrounding tissue injury and cervical wound appearance of the video-assisted thyroidectomy. Methods 230 patients had video-assisted thyroidectomy (group endoscopy) and 204 had conventional open thyroidectomy (group open). Operative duration, postoperative hospital stay, complications,cervical wound healing and appearance, and recurrence rate were compared. Results Operative duration and postoperative hospital stay were (33±29)min and (2±1)days for group endoscopy and (40±21)min and (5±2)days for group open (P=0.025, P=0.000) respectively. Cosmetic result of wound evaluated by numeric scale was in favor of group endoscopy (P=0.000). There were no significant differences in infection of incisional wound, between two groups (P=0.270). After 6-30 months' follow-up, the recurrence rate showed no difference between two groups(P=0.909). Conclusions Compared with conventional surgery, endoscopic thyroidectomy for thyroid diseases was a practical and safe procedure with excellent cosmetic benefits, short hospital stay and less postoperative complications.