Comparison of the efficacy and safety of anterior small incision approach and modified Miccoli endoscope assisted thyroidectomy in the treatment of benign thyroid tumor
10.3969/j.issn.1005-6483.2017.11.018
- VernacularTitle:颈前小切口入路与改良Miccoli腔镜辅助下手术治疗甲状腺良性肿瘤疗效和安全性比较
- Author:
Xiong WANG
1
;
Xi CHEN
Author Information
1. 718500,陕西省靖边县人民医院普外科
- Keywords:
thyroid benign tumor;
anterior cervical small incision approach;
modified Miccoli endoscope;
security;
efficacy
- From:
Journal of Clinical Surgery
2017;25(11):855-858
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the clinical efficacy and safety of anterior small incision approach and modified Miccoli endoscope assisted thyroidectomy in the treatment of benign thyroid tumor.Methods A total of 66 cases with benign thyroid tumor were enrolled in our hospital from Apiil 2014 to April 2017,and divided into two groups according to different surgical methods.The 31 patients who underwent modified Miccoli endoscope assisted surgery was made as the observation group and the 35 patients who underwent anterior neck small incision approach was made as the control group.The operation,cosmetic satisfaction,visual analogue scale (VAS) at 6 hour,12 hour and 24 hour after operation,the incidence of postoperative complications and the voice handicap index (VHI) of the two groups were recorded and analyzed.Results ①The operation time,hospitalization time,intraoperative blood loss in the observation group were(44.68 ± 23.30) mins,(3.28 ± 1.69) dsys and (43.57 ± 23.73) mL,respectively,which were lower than those[(59.43 ± 30.61) mins,(4.36 ± 1.42) days and (59.43 ±30.61)mL] in the control group(P ＜ 0.05).The hospitalization expense in the observation group was (9.73 ± 1.22) KRMB,which was higher than that [(5.83 ± 1.35) KRMB] in the control group (P ＜0.05).②The degree of cosmetic satisfaction in the observation group was 96.77％,which was significantly higher than 80％ in control group(P ＜0.05).③The score of VAS at 12 hour and 24 hour in the observation group were(3.11 ± 0.55)and (1.63 ± 0.21)respectively,which were significantly lower than those [(4.17 ± 0.73) and (2.59 ± 0.36)] in the control group (P ＜ 0.05).④The incidence of postoperative complications in the observation group was 6.45％,which was statistically insignificant when compared with that (11.43 ％) in the control group (P ＞ 0.05).⑤The VHI in the observation group was (0.70 ±0.45),which was statistically insignificant when compared with that(0.65 ± 0.39) in the control group (P ＞ 0.05).Conclusion For patients with benign thyroid tumors,the modified Miccoli endoscope assisted surgery and anterior small incision approach are both safe and effective.The former has the advantages in shortening the operation time and hospitalization time,reducing the blood loss and promoting the cosmetic effect,but it may increase the hospitalization expenses.
