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Updated: Mar 29, 2026
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Surgical Outcomes Comparison Between Endoscopic and Conventional Open Thyroidectomy for Benign Thyroid Nodules
Yi-Chao Wang1, Jing-Qiang Zhu, Kai Liu
1*Department of Thyroid Surgery †Department of Cardiology ‡Department of Pancreatic Surgery and Center for Hepato-Biliary-Pancreatic Minimally Invasive Surgery, West China Hospital, Sichuan University, Chengdu, China.
Background:
The aim of this study was to compare the surgical outcomes of endoscopic thyroidectomy (ET) and conventional open thyroidectomy (COT) for benign thyroid nodules.
Methods:
Between March 2001 and November 2014, 224 patients underwent ET via the breast approach and 218 patients underwent COT. Clinicopathological characteristics and surgical outcomes were retrospectively compared.
Results:
The operation time was significantly longer in the ET group than in the COT group (P = 0.000). However, the ET group had less intraoperative blood loss (P = 0.000), less amount of drainage (P = 0.000), and shorter duration of drainage (P = 0.000). The cosmetic satisfaction was more excellent in the ET group than in the COT group (P = 0.000).
Conclusions:
ET via the breast approach is a safe and effective procedure with excellent cosmetic results for patients with benign thyroid nodules.
