Effect of Endoscopic Radical Thyroidectomy via Non-inflatable Axillary Approach on Perioperative Stress of Patients with Thyroid Cancer
Objective:To observe the effect of non-inflatable axillary approach on perioperative stress in patients with thyroid cancer underwent endoscopic radical thyroidectomy.Method:A total of 88 patients with thyroid cancer admitted to Department of General Surgery,the First Affiliated Hospital of Xiamen University were selected from November 2021 to November 2023.Patients were divided into control group(n=44,underwent endoscopic radical thyroidectomy via subclavian approach)and observation group(n=44,underwent endoscopic radical thyroidectomy via non-inflatable axillary approach)according to random number table method.Surgical indexes,stress,neck injury and dysphagia and complications were observed in two groups.Result:There was no significant difference in the number of lymph node dissection between two groups(P>0.05).Compared with the control group,postoperative drainage volume in the observation group was more and operation time was longer,the differences were statistically significant(P<0.05).There were no significant differences in the levels of cortisol(Cor)and adrenaline(AD)between the two groups before surgery,1 day and 3 days after surgery(P>0.05).There were no significant differences in neck injury scores between two groups 3 days,1 month and 3 months after surgery(P>0.05).The dysphagia scores in the observation group were lower than those in the control group 3 days,1 month and 3 months after surgery,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between two groups(P>0.05).Conclusion:Endoscopic radical thyroidectomy via subclavian approach and non-inflatable axillary approach has similar traumatic stress to patients with thyroid cancer,and the safety is equivalent.The non-inflatable axillary approach has a little more drainage and takes a little longer,but it has little effect on swallowing function.
Thyroid cancerNon-inflatable axillary approachStressPerioperative period
万方数据
维普
