Abstract:

Objective

To explore the therapeutic advantages of endoscopic transareolar approach for unilateral thyroid cancer surgery in patients with thyroid cancer and its impact on thyroid function.

Methods

A total of 66 patients with thyroid cancer who were treated in Yangquan First People's Hospital from April 2021 to December 2022 were selected.They were divided into the study group （undergoing unilateral thyroid cancer surgery via the transareolar approach） and the control group （undergoing traditional surgery） using the random number method，with 33 patients in each group.The statistical software SPSS26.0 was used to analyze the data.Count data were expressed as［ cases （%）］，and the χ² test or Fisher's exact test was performed.Measurement data were expressed as （±s），and the independent sample t test was carried out.A P value less than 0.05 was considered to be statistically significant.

Results

Compared with the control group，the operation time and postoperative drainage volume of patients in the study group significantly increased，while the intraoperative blood loss and hospital stay significantly decreased （P＜0.05）.After treatment，the levels of triiodothyronine （T3）and thyroxine （T4） decreased，and the level of thyroid-stimulating hormone （TSH） increased in both groups，but there was no statistically significant difference between the two groups （P＞0.05）.There was no statistically significant difference in the total incidence of postoperative complications between the two groups （P＞0.05）.

Conclusion

Endoscopic transareolar approach surgery for patients with unilateral thyroid cancer can significantly reduce intraoperative blood loss and hospital stay，and has no impact on thyroid function，which is worthy of clinical promotion.

Key words: Thyroid Neoplasms, Endoscopic Bilateral Axillary Approach Surgery, Thyroid Function, Perioperative Period