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Comparison between 3-dimensional and 2-dimensional endoscopic thyroidectomy for benign and malignant lesions: a
Zigao Huang1, Haiquan Qin1, Jiankun Liao1
1Guangxi Clinical Research Center for Colorectal Cancer, Guangxi Cancer Hospital and Guangxi Medical University Affiliated Cancer Hospital, Nanning, 530021, Guangxi Autonomous Region, China.
World Journal of Surgical Oncology
|January 22, 2021
Summary
3D endoscopic thyroidectomy (ET) offers significant advantages over 2D-ET, including reduced procedure time, blood loss, and complications. This advanced technique is efficient, safe, and reliable for thyroid surgery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Endocrine Surgery
Background:
- Increasing adoption of 3D endoscopic thyroidectomy (ET) necessitates robust data on its comparative efficacy and safety.
- Limited documentation exists regarding the comparative outcomes of 3D-ET versus 2D-ET for thyroidectomy procedures.
- This meta-analysis systematically evaluates the feasibility and safety of 3D-ET compared to 2D-ET.
Purpose of the Study:
- To systematically compare the outcomes of 3D-ET and 2D-ET for both benign and malignant thyroid lesions.
- To evaluate key surgical endpoints including procedure time, blood loss, and postoperative complications.
- To assess the overall feasibility and safety profile of 3D-ET in thyroid surgery.
Main Methods:
- A systematic literature search adhering to PRISMA guidelines was conducted across major databases (PubMed, Cochrane, Web of Science, CNKI, Wanfang).
- Eligible studies published in English and Chinese up to October 2020 were included.
- Comparative analysis focused on procedure time, blood loss, drainage, hospitalization, complications, lymph node dissections (LNDs), and cost.
Main Results:
- The meta-analysis included 15 studies with 1190 patients (583 3D-ET, 607 2D-ET), encompassing 8 endoscopic benign thyroidectomy (EBT) and 7 endoscopic malignant thyroidectomy (EMT) studies.
- 3D-ET demonstrated significant advantages over 2D-ET in procedure time, blood loss, postoperative drainage, complications, and LNDs (all P < 0.006).
- No significant differences were observed in total cost or postoperative hospitalization, although a shorter hospitalization was noted for 3D-EBT in subgroup analysis.
Conclusions:
- 3D endoscopic thyroidectomy is an efficient, safe, and reliable surgical method compared to 2D-ET, offering enhanced depth perception and stereoscopic vision.
- The outcomes of 3D-ET are comparable to 2D-ET, with demonstrated benefits in several key surgical metrics.
- Further clinical randomized controlled trials (RCTs) with long-term follow-up are recommended to validate these findings.
