Abstract:
Objective To compare the effects of airless axillary approach endoscopic technique and traditional methods for subtotal thyroidectomy.
Methods A retrospective cohort study was conducted the clinical data of 83 patients with thyroid disease who underwent surgery in our hospital from January 2017 to December 2019.40 patients who underwent traditional cervical subtotal thyroidectomy were included in the control group. 43 patients who underwent laparoscopic subtotal thyroidectomy with pneumatic axillary approach were included in the study group. SPSS23.0 software was used for processing，and the operation-related indicators were expressed as（
±
s），independent t test was performed. Postoperative complications，incision satisfaction and disease recurrence rate were expressed in percentage by
χ2 test.
P<0.05 was considered statistically significant.
Results The operation time and postoperative drainage volume of the axillary approach group were higher than those of the traditional approach group，and the intraoperative blood loss was lower than that of the traditional approach group（P<0.05）；the drainage tube placement time，hospitalization days，and complication rate of the axillary approach group The 1-year recurrence rate was not statistically significant compared with the traditional approach group（P>0.05）；the incision satisfaction rate（93.0%）of the axillary approach group was higher than that of the traditional approach group（77.5%）（P<0.05）.
Conclusion Endoscopic subtotal thyroidectomy through non inflation axillary approach in the treatment of thyroid diseases have more obvious advantages，which can reduce bleeding and excellent aesthetic，and is easier to be accepted by patients.
Key words:
Thyroidectomy,
Airless axillary approach endoscopic technique,
Postoperative complications,
Patient satisfaction,
Comparative effectiveness research
Hai Huang, Jianyuan Meng, Fucai Chen, Yuhua Cao, Gangjian Zhu. Comparison of short-term and mid-term follow-up of non-inflatable axillary approach endoscopic technique and traditional method for subtotal thyroidectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(02): 233-236.