Surgical Outcomes Comparison Between Endoscopic and Conventional Open Thyroidectomy for Benign Thyroid Nodules.

Abstract

BACKGROUND:

The aim of this study was to compare the surgical outcomes of endoscopic thyroidectomy (ET) and conventional open thyroidectomy (COT) for benign thyroid nodules.

METHODS:

Between March 2001 and November 2014, 224 patients underwent ET via the breast approach and 218 patients underwent COT. Clinicopathological characteristics and surgical outcomes were retrospectively compared.

RESULTS:

The operation time was significantly longer in the ET group than in the COT group (P = 0.000). However, the ET group had less intraoperative blood loss (P = 0.000), less amount of drainage (P = 0.000), and shorter duration of drainage (P = 0.000). The cosmetic satisfaction was more excellent in the ET group than in the COT group (P = 0.000).

CONCLUSIONS:

ET via the breast approach is a safe and effective procedure with excellent cosmetic results for patients with benign thyroid nodules.

• Authors: Yi-Chao Wang, Jing-Qiang Zhu, Kai Liu, Jun-Jie Xiong, Teng-Fei Xing, Qian-Qian Han, Bing Peng
• Journal: The Journal of craniofacial surgery (J Craniofac Surg) Vol. 26 Issue 8 Pg. e714-8 (Nov 2015) ISSN: 1536-3732 [Electronic] United States
• PMID: 26594983 (Publication Type: Comparative Study, Journal Article)

Topics

• Adenoma (surgery)
• Adult
• Blood Loss, Surgical
• Breast (surgery)
• Carcinoma (surgery)
• Carcinoma, Papillary
• Drainage
• Endoscopy (methods)
• Esthetics
• Female
• Follow-Up Studies
• Goiter, Nodular (surgery)
• Humans
• Male
• Middle Aged
• Operative Time
• Pain, Postoperative (etiology)
• Patient Satisfaction
• Postoperative Complications
• Recurrent Laryngeal Nerve (physiopathology)
• Retrospective Studies
• Thyroid Cancer, Papillary
• Thyroid Neoplasms (surgery)
• Thyroid Nodule (surgery)
• Thyroidectomy (methods)
• Time Factors
• Treatment Outcome
• Vocal Cord Paralysis (etiology)