To investigate the effect of complete endoscopic thyroidectomy (CET) with different approaches in the treatment of thyroid cancer.

A total of 90 thyroid cancer patients receiving CET treatment from March 2017 to February 2019 were selected as the research subjects, and randomly divided into axillary breast group and thoracic breast group, with 45 cases in each group, using random number table method. Data analysis with statistical software SPSS 21.00. Perioperative indicators were expressed as (±s), the independent t test was used. The total satisfaction and the incidence of complications were tested by χ² test or Fisher’s exact test. P<0.05 was considered statistically significant.

The perioperative indexes of axillary breast group, such as operative time, intraoperative blood loss, postoperative drainage volume, drainage time, postoperative hospital stay and the number of lymph nodes detected, were better than those of thoracic breast group, with statistical significance(P<0.05). The incidence of postoperative complications in the axillary breast milk group (11.1%) was lower than that in the breast milk group (31.1%), and the total satisfaction of patients (97.8%) was higher than that in the breast milk group (80.0%), with statistical significance (P<0.05). There was no recurrence in the two groups during the follow-up.

Compared with the thoracic approach, the modified axillary approach has the advantages of shorter operation time, less postoperative drainage fluid, shorter extubation time, higher patient satisfaction and better recovery, which can be widely used in clinical practice.