Related Experiment Video
Updated: Nov 2, 2025
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Application of lateral supraclavicular incision in unilateral thyroid papillary carcinoma surgery
Yan-Xin Ren1, Jie Yang1, Wei-Ze Sun1
1Kunming Medical University, Third Affiliated Hospital, Kunming, China.
Introduction:
The standard approach to thyroidectomy is a collar incision via the anterior neck, and the neck scar has always been a source of worry for patients. Acceptable wound cosmetology has become a focus for thyroid surgeons.
Objective:
To verify the effectiveness and cosmetic results of thyroidectomy through a lateral supraclavicular incision.
Methods:
180 patients were randomly divided into two groups: a lateral supraclavicular approach and a conventional transcervical approach. The main outcomes included incision length, intraoperative blood loss, operative time, total drainage volume, hospitalization expense, early postoperative pain measured by visual analog scale, infection, and perceived cosmetic outcome.
Results:
There were no statistical significances between the two groups in terms of age, gender, nodule size, intraoperative blood loss, operative time, total drainage volume, hospital expense and postoperative complications, whereas there were significant differences in terms of incision length (5.2±1.04cm vs. 6.9±1.14cm, p<0.05).
Conclusions:
The lateral supraclavicular incision is a safe and feasible approach for thyroidectomy. Compared with conventional approach, it provides a better cosmetic result.
