[Application of transoral endoscopic thyroidectomy for benign thyroid nodule]

Area of Science:

• Endocrinology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Benign thyroid nodules are common, and surgical intervention is often necessary.
• Conventional thyroidectomy can result in visible neck scarring.
• Transoral endoscopic thyroidectomy offers a scarless approach.

Purpose of the Study:

• To evaluate the feasibility and application value of transoral endoscopic thyroidectomy for benign thyroid nodules.
• To compare the outcomes of transoral endoscopic thyroidectomy with conventional thyroidectomy.

Main Methods:

• A prospective study comparing 31 patients undergoing transoral endoscopic thyroidectomy with 45 patients undergoing conventional thyroidectomy.
• Data collected included tumor size, operation time, blood loss, drainage volume, complications, and hospital stay.
• Statistical analysis was performed to compare outcomes between the two groups.

Main Results:

• Both methods were effective for benign thyroid nodules, with no significant differences in drainage volume, hospital stay, or overall complications.
• The endoscopic group experienced less blood loss (20±4 ml) and a shorter operation time (107±11 min) compared to the conventional group.
• Transient hoarseness was observed in one patient in the endoscopic group, with full recovery.

Conclusions:

• Transoral endoscopic thyroidectomy is a feasible and safe procedure for benign thyroid nodules.
• This technique provides a cosmetically advantageous alternative to conventional thyroidectomy.
• It is a suitable option for patients prioritizing aesthetic results.