Comparison of efficacy and complications of endoscopic surgery through three different approaches in the treatment of thyroid microcarcinoma
Objective:To investigate the efficacy and complications of endoscopic surgery through three different approaches in the treatment of thyroid microcarcinoma.Methods:We retrospectively included 240 patients with thyroid microcarcinoma who had under-gone endoscopic surgery in The Second Affiliated Hospital of Wannan Medical College from January 2020 to March 2023.According to surgical approaches,the patients were divided into transoral vestibular approach group(n=71),transaxillary approach group(n=73),and breast approach group(n=96).The three groups were comparted in terms of general clinical data,perioperative indicators,postop-erative pain,incision aesthetics,patients'degree of satisfaction,and postoperative complications.Results:The operation time of the transaxillary group was significantly shorter than that of the other two groups(P＜0.001).The length of incision was significantly differ-ent between the three groups:the transoral group＜the breast group＜the transaxillary group(P＜0.001).The transoral group had a sig-nificantly greater number of dissected central lymph nodes and a significantly shorter dissection time compared with the other two groups(P＜0.001).The visual analogue scale score was significantly lower in the transoral and transaxillary groups than in the breast group at 6 h,12 h,24 h,and 48 h after operation(P＜0.001).The transoral group and the transaxillary group were significantly superior to the breast group in incision aesthetics and patients'degree of satisfaction(P＜0.001).The overall incidence of complications showed no significant difference between the three groups(P=0.491).Conclusion:Endoscopic surgery through the three approaches were equivalently effective in the treatment of thyroid microcarcinoma,with no difference in complications.However,the transaxillary ap-proach showed the shortest operation time,and the transoral vestibular approach was superior in central lymph node dissection,dissec-tion time,and incision aesthetics while ensuring the effectiveness.Surgical approach selection should be based on patient's actual con-dition.
万方数据
维普
