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Comparison between endoscopic thyroidectomy and conventional open thyroidectomy for papillary thyroid microcarcinoma:
1Department of Surgical Oncology, Ningbo No. 2 Hospital, Ningbo, China.
Journal of Cancer Research and Therapeutics
|July 28, 2016
Summary
Endoscopic thyroidectomy (ET) is a safe and feasible alternative to conventional open thyroidectomy (COT) for papillary thyroid microcarcinoma (PTMC), offering better cosmetic outcomes. While ET showed a higher rate of transient nerve palsy, long-term recurrence and other complications were similar between techniques.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Endoscopic thyroidectomy (ET) is increasingly accepted for its documented feasibility.
- Conventional open thyroidectomy (COT) is the traditional approach for papillary thyroid microcarcinoma (PTMC).
Purpose of the Study:
- To systematically review and meta-analyze the safety and feasibility of ET compared to COT for PTMC.
- To evaluate other potential benefits and drawbacks of ET versus COT.
Main Methods:
- A systematic literature search was conducted on PubMed and Web of Knowledge for PTMC treatment studies (2000-2013).
- Meta-analysis was employed to compare outcomes between ET and COT.
Main Results:
- Six studies involving 1081 patients were analyzed.
- ET showed a higher incidence of transient recurrent laryngeal nerve (RLN) palsy but no significant differences in permanent palsy or hypocalcemia.
- Tumor recurrence rates were similar, while patient satisfaction favored ET, despite longer operative times.
Conclusions:
- Endoscopic thyroidectomy (ET) is a feasible, practical, and safe option for PTMC.
- ET offers superior cosmetic results compared to conventional open thyroidectomy (COT).
- Manipulation ease is comparable between ET and COT for PTMC treatment.
