Comparative study on minimally invasive video-assisted thyroidectomy and total endoscopic thyroidecto-my
10.3760/cma.j.issn.1674-6090.2015.02.014
- VernacularTitle:腔镜辅助小切口甲状腺手术与完全腔镜甲状腺切除术的对比分析
- Author:
Haiqing SUN
;
Qingdong ZENG
;
Bin LYU
;
Bo CHEN
;
Baoyuan LI
;
Lixin JIANG
;
Haitao ZHENG
- Publication Type:Journal Article
- Keywords:
Minimally invasive video-assisted thyroidectomy;
Totally endoscopic thyroidectomy;
Safety;
Trauma;
Cosmetic
- From:
Journal of Endocrine Surgery
2015;(2):140-143,151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the advantages and disadvantages of minimally invasive video -assisted thyroidectomy(MIVAT)and totally endoscopic thyroidectomy (TET).Methods The study included 70 patients undergoing MIVAT and TET at Qilu Hospital of Shandong University and Yantai Yuhuangding Hospital from Jan . 2012 to Dec.2012.46 patients undergoing MIVAT(MIVAT group)and 24 patients undergoing TET(TET group) were analyzed retrospectively .Data of gender,age,operative data,intraoperative and postoperative complications , length of stay , feelings of patients and cosmetic effect were collected and analyzed .MIVAT and TET were com-pared in terms of safety ,trauma and cosmetic effect .Results ①About safety:no permanent recurrent laryngeal nerve(RLN)palsy and parathyroid injury occurred in either group .One case in MIVAT group and no case in TET group was converted to open surgery (2.2%vs 0%,P>0.05) .②About trauma:the intraoperative blood loss and postoperative drainage amount in the MIVAT group were significantly less than those in the TET group ( P <0.05).Postoperative VAS score at 6 hours was similar,but MIVAT group showed lower postoperative VAS score than TET group at 12 hours and 24 hours ( P<0.05 ) .No significant difference was observed between the 2 groups about C reactive protein (CRP)on the 1st day before operation,the 1st and 3rd day after operation(P>0.05).③About cosmetic effect:the 2 groups had similar patient satisfaction index .Conclusions The study shows similar results in safety and trauma .The 2 approaches are both safe and valid .Patients using the two ap-proaches are equally satisfied with the cosmetic effect .
