Objective To evaluate and compare the clinical efficiency of endoscopic thyroidectomy with conventional open thyroidectomy via trans-thoracoareolar approach in a clinical study. Methods Analyze patients who underwent thyroid operations in the department of thyroid and breast surgery, 46 patients undergone endoscopic thyroidectomy via trans-thoracoareolar approach (group endoscopy) , 40 patients undergone conventional open thyroidectomy (group open) . The difference of patients’ general condition , operative time , blood loss , the volume of drainage in the first day after operation , time of postoperative , postoperative complications and cosmetic effects were compared. Results The operation time in group endoscopy was longer and the volume of drainage in the first day after operation was also much more than the group open . However , the group endoscopy had superiority in the neck discomfort and bet er return to natural activity . The difference had no statistical significance between the two groups in the intraoperative blood loss , postoperative time and postoperative complications. Conclusion Endoscopic thyroidectomy via trans-thoracoareolar approach , with prominent cosmetic effect , is a safe , effective and less complications alternative to conventional open thyroidectomy , and deserves further clinical applications.
trans-thoracoareolarendoscopic thyroidectomyopen thyroidectomycomparative study
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