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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.
The Journal of Craniofacial Surgery
|November 24, 2015
Summary
Endoscopic thyroidectomy (ET) offers excellent cosmetic results for benign thyroid nodules compared to conventional open thyroidectomy (COT). ET shows reduced blood loss and drainage, despite longer operation times.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Benign thyroid nodules are common, necessitating effective surgical management.
- Conventional open thyroidectomy (COT) is a standard treatment but can result in visible scarring.
Purpose of the Study:
- To compare surgical outcomes between endoscopic thyroidectomy (ET) and COT for benign thyroid nodules.
- Evaluate the efficacy and cosmetic results of ET via the breast approach.
Main Methods:
- Retrospective comparison of 224 patients undergoing ET (breast approach) and 218 patients undergoing COT.
- Analysis of clinicopathological characteristics and surgical outcomes.
Main Results:
- Endoscopic thyroidectomy (ET) resulted in significantly less intraoperative blood loss, drainage volume, and shorter drainage duration compared to COT.
- Cosmetic satisfaction was significantly higher in the ET group.
- Operation time was longer for ET than COT.
Conclusions:
- Endoscopic thyroidectomy (ET) via the breast approach is a safe and effective surgical option for benign thyroid nodules.
- ET provides superior cosmetic outcomes compared to conventional open thyroidectomy (COT).
- The benefits of reduced blood loss and drainage support the use of ET for select patients.
