[Comparative study of endoscopic and open thyroidectomy]

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Endocrinology

Background:

• Traditional open thyroidectomy poses risks of scarring and longer recovery.
• Advancements in surgical techniques have led to the development of minimally invasive alternatives.

Purpose of the Study:

• To compare the therapeutic efficacy of endoscopic thyroidectomy versus open thyroidectomy.
• To evaluate key clinical outcomes including operative time, blood loss, hospitalization, and complication rates.

Main Methods:

• A randomized controlled trial involving 109 patients undergoing thyroidectomy.
• Patients were allocated to either endoscopic thyroidectomy (n=52) or open thyroidectomy (n=57).
• Comparative analysis of operative time, blood loss, hospital stay, and complication rates.

Main Results:

• Endoscopic thyroidectomy showed significantly shorter operative times (105.1 min vs. 145.3 min, P<0.01).
• Mean operative blood loss was substantially lower in the endoscopic group (7.5 ml vs. 48.6 ml, P<0.01).
• Hospitalization was reduced (4.1 days vs. 8.0 days, P<0.01) with a lower complication rate (5.8% vs. 8.8%, P<0.01).

Conclusions:

• Endoscopic thyroidectomy is a safe and effective procedure compared to open thyroidectomy.
• The endoscopic approach offers significant advantages in aesthetics, reduced bleeding, and fewer postoperative complications.
• This supports the adoption of endoscopic thyroidectomy for improved patient outcomes.