Effect of Non-Insufflated and Insufflated Transaxillary Endoscopic Thyroidectomy on Recurrent Laryngeal Nerve Injury and Prognosis in Patients with Differentiated Thyroid Carcinoma
[Objective]To investigate the effect of non-insufflated and insufflated transaxillary endoscopic thyroidectomy on recurrent laryngeal nerve(RLN)injury and prognosis in patients with differentiated thyroid carcinoma(DTC).[Methods]Eighty-eight DTC patients undergoing transaxillary endoscopic thyroidectomy in our hospital were divided into a non-insufflated group(40 cases)and an insufflated group(48 cases)according to the different surgical methods.The levels of parathyroid hormone(PTH),recurrence rate,operation time,hospital stay,blood loss,drainage volume,incidence of RLN injury,and quality of life(QOL)scores were compared between the two groups.[Results]Postoperatively,the PTH level in the non-insufflated group was higher than that in the insufflated group(P＜0.05).There was no statistically significant difference in the re-currence rates between the two groups(P＞0.05).The operation time and hospital stay were shorter,and the blood loss and drainage volume were less in the non-insufflated group than in the insufflated group.The inci-dence of temporary RLN injury was lower in the non-insufflated group(P＜0.05).At three months post-op-eration,the QOL scores in the non-insufflated group were higher than those in the insufflated group(P＜0.05).[Conclusion]Compared to insufflated surgery,non-insufflated transaxillary endoscopic thyroidectomy can shorten the operation and hospital stay,reduce blood loss and drainage volume,and lower the incidence of temporary RLN injury.Additionally,patients have better quality of life postoperatively,making it worthy of clinical promotion and application.
万方数据
维普
