Comparative Study Between Endoscopic Thyroid Surgery via the Oral Vestibular Approach and the Areola Approach

Abstract

Objective: To investigate the clinical efficacy and safety of endoscopic thyroidectomy through the oral vestibular approach and the breast approach. Methods: Retrospective analysis was done on clinical data of 80 patients who received an endoscopic thyroidectomy from April 2018 to March 2019. The research group had endoscopic thyroidectomy through the oral vestibular approach, whereas the control group had endoscopic thyroidectomy through the areola breast approach. Comparison between the two groups including intraoperative bleeding, operation time, total postoperative drainage, drainage time, postoperative sustained pain time, recovery feeding time, postoperative hospitalization duration, satisfactory esthetic outcomes of incision, central lymph node clearance, skin injury, infection incidence, and complications such as facial hematoma, subcutaneous emphysema, abnormal feeling of the neck and chest, and pleural injury was recorded. Results: There was no significant difference between the two groups in the amount of intraoperative bleeding, operation time, total postoperative drainage, drainage time, postoperative sustained pain time, recovery feeding time, and postoperative hospitalization time (P > .05). The incidence of complications such as skin injury, infection, wound hematoma, subcutaneous emphysema, abnormal feeling of the neck and chest, and pleural injury was not statistically different between the two groups (P > .05). There was no significant difference in the number of lymph nodes cleaned in the central area between the two groups (P > .05). The overall satisfaction of the patients with the cosmetic effects of the incision (100.00%) was higher than that of the control group (90.00%). Conclusions:The clinical treatment effect and safety in the two groups were similar, but the transoral group had better cosmetic effects.

Prophylactic central lymph node dissection in cN0 papillary thyroid cancer: a comparative study of via breast and transoral approach versus via breast approach alone

“…Lymph node clearance is another example of effectiveness. The number of CLND in the breast approach group in this study was 7.4 ± 4.8, which is comparable to the average CLND reported by other scholars [6.15 ± 4.90 ( 18 ), 7.3 ± 3.9 ( 19 ), and 7.53 ± 0.67 ( 20 )], so it is reasonable to believe that the CLND by the breast approach achieves the same extent of dissection as that reported by scholars both nationally and internationally. However, we observed that the mean number of lymph nodes in the central area of the breast approach group was lower than that of traditional open surgery on the neck [10.87 ± 6.43 ( 21 ), 10.71 ± 5.17 ( 22 ), 10.1 ± 6.98 ( 23 )].…”

Efficacy and Safety of Minimally Invasive Thyroid Surgery: A Network Meta‐Analysis

“…Despite an absence of local inconsistencies between the direct and indirect evaluations of most outcomes, RBAB (compared to the control: direct, SMD = 0.47 [À0. 15 45, 6.34], p = 0.0084). The outcomes "contracted" between the direct and indirect comparisons, such that any apparent advantage of RBAB or RO should be interpreted with caution.…”

“… 6–8 We recorded the number, age, sex, nationality, treatment group, and outcomes of patients. The operative outcomes (intraoperative time, bleeding, hospitalization days, cosmetic satisfaction, postoperative drainage amount, and postoperative pain score) and complications (accidental parathyroidectomy, chyle leak, flap problems, hematoma, transient and permanent hypocalcemia, transient and permanent vocal cord palsy, tracheal injury, seroma, and wound infection) were analyzed 9–86 . The clinical studies were appraised independently by two authors, and the quality assessment of nonrandomized studies was completed using the Methodological Index for Non‐Randomized Studies (MINORS) tool 87 .…”

Application of lateral supraclavicular incision in unilateral thyroid papillary carcinoma surgery

“… 10 Cosmetic score was measured 3 months after surgery, the clinical evaluation divisions were as follows: 0 to 3 means fair cosmetic effects, 4 to 6 means moderate cosmetic effects, and 7 to 10 means good cosmetic effects, these scores were recorded. 11 …”