Effect of Transaxillary Approach Non-Inflatable Total Cavity Endoscopic Radical Thyroidectomy for Thyroid Papillary Microcarcinoma
Objective To explore the effect of transaxillary approach non-inflatable total cavity endoscopic radical thyroidectomy(ERT)for cervical lymph node negative(cN0)stage thyroid papillary microcarcinoma(PTMC).Methods A total of 82 patients with cN0 stage PTMC treated in Jinjiang Municipal Hospital/Fujian Campus,Shanghai Sixth People's Hospital from January to September 2023 were selected and randomly divided into two groups using a number table method.The control group(n=41)received traditional open surgery,while the observation group(n=41)received transaxillary approach non-inflatable total cavity ERT.The differences of surgical indicators,thyroid hormone level[thyroid stimulating hormone(TSH),triiodothyronine(T3),thyroid hormone(T4)],visual analogue scale(VAS)score,postoperative complication rate and incision aesthetic score satisfaction were compared between the two groups.Results The operation time and hospital stay in the observation group were shorter than those in the control group,and the amount of intraoperative blood loss and total drainage fluid were lower than those in the control group(P<0.05).There was no significant difference in the number of lymph node dissection between the two groups(P>0.05).Before operation,there was no significant difference in TSH,T3 and T4 between two groups(P>0.05).After operation,TSH,T3 and T4 in two groups were better than those before operation,and TSH,T3 and T4 in observation group were better than those in control group(P<0.05).VAS scores of observation group at 12,24,48 and 72 h after operation were lower than those of control group(P<0.05).The total incidence of postoperative complications in the observation group was 4.88%,which was lower than 19.51%in the control group(P<0.05).The total satisfaction rate of surgical incision aesthetics score in the observation group was 97.56%,which was higher than 80.49%in the control group(P<0.05).Conclusion The treatment of cN0 stage PTMC with transaxillary approach non-inflatable total cavity ERT is satisfactory,helps to improve thyroid function,reduce postoperative complications and obtain higher aesthetic satisfaction.
transaxillary approachnon-inflationtotal cavity endoscopic radical thyroidectomythyroid papillary microcarcinomaaesthetic effectthyroid function
万方数据
维普
