Compartive study of bilateral axillo-breast approach endoscopic thyroidectomy and open surgrey in patients with papillary thyroid microcarcinoma
Objective To compare the efficacy of bilateral axillary areolar approach laparoscopic thyroid surgery(BABA-ET)and open surgery in the treatment of micropapillary thyroid carcinoma(PTMC).Methods A total of 107 patients were retrospectively collected from October 2022 to October 2023 at the People's Hospital of Qijiang District,Chongqing Municipality,who were treated surgically for PTMC,and were categorized into the endoscopic group(39 patients)and the open group(68 patients)according to the surgical modality,and were compared with the surgical results,postoperative complications,and cosmetic sat-isfaction in the 2 groups.Results Compared with the open group,patients in the endoscopic group were youn-ger[(40.51±5.67)years vs.(51.04±8.58)years]and the operation time was longer[113.00(105.00-123.00)min vs.95.00(86.00-105.75)min].and the postoperative drainage was higher[(103.41±21.57)mL vs.(78.71±19.47)mL],and the differences were statistically significant(P＜0.05).There were no sta-tistically significant differences in the comparison of temporary recurrent laryngeal nerve injury,temporary hypocalcemia,pain scores and postoperative bleeding between the two groups(P＞0.05),and no celiac leak-age or infection was observed in the postoperative period of patients in the 2 groups.The postoperative satis-faction of patients in the laparoscopic group was higher than that in the open group(89.74％vs.41.18％),and the difference was statistically significant(P＜0.05).By the final follow-up,no tumor recurrence or me-tastasis had occurred in the 2 groups.Conclusion BABA-ET is comparable to open surgery for PTMC and has a better cosmetic outcome.Therefore,BABA-ET is a more ideal procedure for patients with PTMC who are concerned about postoperative neck scarring.
万方数据
维普
