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Thyroidectomy Using the Lateral Cervical Small Incision Approach for Early Thyroid Cancer
Xi-Xin Jin1, Qian-Yu Zhang2, Chao Gao1
1Department of Breast, Head and Neck Surgery, Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Clinical, Cosmetic and Investigational Dermatology
|April 28, 2022
Summary
The lateral cervical small incision thyroidectomy offers better cosmetic results and prognosis than traditional open surgery. This minimally invasive approach reduces complications and improves patient satisfaction for thyroid cancer treatment.
Area of Science:
- Surgical Oncology
- Endocrine Surgery
Background:
- Traditional open thyroidectomy is effective for thyroid cancer but causes poor cosmetic outcomes.
- Minimally invasive surgical techniques are sought to improve patient aesthetics post-thyroidectomy.
Purpose of the Study:
- To evaluate the efficacy of a novel lateral cervical small incision approach for thyroidectomy.
- To compare this technique against traditional open thyroidectomy regarding outcomes and aesthetics.
Main Methods:
- Retrospective analysis of 191 early thyroid cancer patients undergoing unilateral thyroidectomy.
- Comparison between 91 patients using the lateral cervical small incision and 100 using the traditional median cervical approach.
Main Results:
- No significant differences in patient demographics or postoperative complications were observed.
- The lateral cervical approach showed significant improvements in operation duration, blood loss, drainage, hospital stay, and scar quality.
- Cosmetic outcomes were significantly more satisfactory with the lateral cervical approach.
Conclusions:
- The lateral cervical small incision thyroidectomy is a viable alternative to traditional open surgery.
- This approach yields superior cosmetic results and comparable or better perioperative prognosis with fewer complications.

