Comparative study of endoscopic via areola approach versus open conventional thyroidectomy in papillary thyroid carcinomapatients
10.3760/cma.j.issn.1673-4904.2018.08.006
- VernacularTitle: 全乳晕入路腔镜手术与开放手术在甲状腺乳头状癌中的应用研究
- Author:
Zhonglin WANG
1
;
Shangrui RAO
;
Zhe LIN
;
Jian YU
;
Zhongliang PAN
Author Information
1. Department of General Surgery, Wenzhou Central Hospital (Dingli Clinical Institute of Wenzhou Medical University), Zhejiang Wenzhou 325000, China
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Endoscopy;
Papillarythyroid carcinoma;
Prognosis
- From:
Chinese Journal of Postgraduates of Medicine
2018;41(8):691-695
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and compare the surgery prognosis of the papillary thyroid carcinoma (PTC) patients who underwent conventional and endoscopic thyroidectomies via areola.
Methods:From January 2012 to December 2017, 887 patients with PTC underwent thyroidectomy. The A group of 693 patients underwent traditional thyroidectomy, and B group of 194 patients underwent endoscopic thyroidectomy. Clinicopathologic characteristics, surgical methods, pathological features and complications were analyzed and compared between two groups.
Results:The mean age of A group was older than B group: (45.2 ± 11.5) years vs. (34.9 ± 9.4) years, P<0.01. The drainamount and drain maintenance in B group were significantly higher than those in A group (P<0.01). The operative methods in two group had significant difference (P<0.01). The patients in B group were successful in operation and no one transferred to open operation. The tumor size in the A group was larger than that in B group, and more bilateral multifocal tumors were in A group (P<0.01). The number of lymph nodes dissection in A group was more than that in B group (P<0.01). There was no significant difference in the postoperative complications (P > 0.05).
Conclusions:The results show that patients with PTC who underwent conventional and endoscopic thyroidectomies via areola have similar surgical prognosis.Therefore, choosing the appropriate cases for endoscopic thyroidectomy via breast areola approach may be regarded as an alternative surgical technique to conventional thyroidectomy which has the oncological safety and cosmetic results.
