Clinical observation of endoscopic thyroidectomy, low incision thyroidectomy and traditional thyroidectomy

doi:10.3877/cma.j.issn.1674-3946.2021.05.029

Abstract

Abstract:

Objective

To explore the clinical outcome of Endoscopic Thyroidectomy via Breast Approach(ETBA), Low Incision Operation(LIO) and Traditional Thyroidectomy(TT).

Methods

The clinical data of 98 patients underwent thyroidectomy from January 2019 to October 2019, were analyzed retrospectively. According to the operation method, 98 patients were divided into three groups: group A receiving ETBA (31 cases), group B receiving LIO(33 cases), and group C receiving TT(34 cases). Statistical analysis were performed by using SPSS22.0 software. Count data such as postoperative complications were analyzed by using χ² test. Measurment data such as perioperative indicators, VAS scores and cosmetic scores were analyzed by using single-factor variance analysis. A P value of <0.05 was considered as statistically significant difference.

Results

The operation time ranked as group B<group C<group A(P<0.05), intraoperative blood loss ranked as group B<group A<group C(P<0.05), extubation time, postoperative drainage, and hospital stay ranked as group A<group B<group C (P<0.05). Three days after operation, the VAS score ranked as group A<group B<group C(P<0.05); the incision cosmetic scores ranked as group A>group B>group C, (P<0.05), and the hospitalization expense ranked as group A>group B>group C(P<0.05).

Conclusion

ETBA and LIO have better clinical outcome than TT, and ETBA has the best cosmetic effect, but the highest cost.

Key words: Thyroidectomy, Comparative effectiveness research, Endoscopic thyroidectomy via breast approach, Low incision operation

Xiaotian Yu, Zhenwei Shen, Xiaoyan Tang, Zhinan Liu, Xiang Chen, DeFeng Chang. Clinical observation of endoscopic thyroidectomy, low incision thyroidectomy and traditional thyroidectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(05): 574-577.

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Figures/Tables 4

References 18

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分组	例	性别	年龄(岁)	肿瘤类型	肿瘤直径(cm)
分组	例	男/女	年龄(岁)	A/B	肿瘤直径(cm)
A组	31	14/17	53.6±10.5	20/11	3.2±0.7
B组	33	15/18	53.0±9.3	23/10	3.1±0.8
C组	34	16/18	53.2±9.7	24/10	3.2±0.7
t/χ²值		0.001	0.028	0.317	0.179
P值		0.981	0.972	0.573	0.836

分组	例	性别	年龄(岁)	肿瘤类型	肿瘤直径(cm)
分组	例	男/女	年龄(岁)	A/B	肿瘤直径(cm)
A组	31	14/17	53.6±10.5	20/11	3.2±0.7
B组	33	15/18	53.0±9.3	23/10	3.1±0.8
C组	34	16/18	53.2±9.7	24/10	3.2±0.7
t/χ²值		0.001	0.028	0.317	0.179
P值		0.981	0.972	0.573	0.836

分组	例	暂时性喉返神经麻痹	暂时性低钙血症	血肿	合计(%)
A组	31	0	1	2	3(9.7)
B组	33	1	1	0	2(9.1)
C组	34	2	3	1	6(17.7)
χ²值		-	0.002	-	0.290
P值		0.975	0.964	0.445	0.590

分组	例	暂时性喉返神经麻痹	暂时性低钙血症	血肿	合计(%)
A组	31	0	1	2	3(9.7)
B组	33	1	1	0	2(9.1)
C组	34	2	3	1	6(17.7)
χ²值		-	0.002	-	0.290
P值		0.975	0.964	0.445	0.590

分组	例	手术时间(min)	术中出血量(ml)	拔管时间(d)
A组	31	77.5±11.5^ab	58.7±7.9^ab	2.2±0.4^ab
B组	33	54.9±9.4^a	42.0±5.9^a	2.9±0.4^a
C组	34	63.2±10.7	74.3±4.5	3.2±0.4
F值		37.16	228.456	70.625
P值		0.000	0.000	0.000
分组	例	术后引流量(d)	住院时间(d)
A组	31	22.3±6.6^ab	3.4±0.5^ab
B组	33	47.5±8.6^a	4.0±0.5^a
C组	34	53.3±7.6	5.6±1.1
F值		148.136	78.096
P值		0.000	0.000

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