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- Title
Prospective comparative study of endoscopic via unilateral axillobreast approach versus open conventional total thyroidectomy in patients with papillary thyroid carcinoma.
- Authors
Park, Ki; Jung, Chan-Hee; Mok, Ji; Kwak, Jung; Lee, Seung; Park, Ki Nam; Mok, Ji Oh; Kwak, Jung Ja; Lee, Seung Won
- Abstract
<bold>Background: </bold>Total thyroidectomy can be accomplished in one of two ways. The first is an open conventional approach, and the other is an endoscopic unilateral axillobreast approach (UABA). However, the two have not been thoroughly compared. In the study described herein, we compare the technical feasibility, safety, and surgical completeness of open versus endoscopic total thyroidectomy procedures.<bold>Methods: </bold>A total of 152 patients who underwent open (n = 102) or endoscopic (n = 50) total thyroidectomy via UABA for papillary microcarcinoma from January to December 2011 were enrolled in this study. Data were collected prospectively after obtaining informed consent. We analyzed the clinical characteristics, pathologic results, postoperative thyroglobulin (Tg) levels, and results of radioactive iodine treatment between the two groups.<bold>Results: </bold>We conclude that endoscopic thyroidectomy resulted in a younger age, lower body mass index, longer operation time and drain maintenance, and larger drain amount. There were no significant differences with respect to gender, hospital stay, tumor size, time for central compartment neck dissection, number of harvested ipsilateral lymph nodes, or bleeding amount between groups. The proportion of extrathyroidal extension, multifocality, and bilaterality did not differ, and the surgical complication rate was similar. In addition, the postoperative stimulated and non-stimulated Tg levels did not differ significantly, nor did the thyroid bed/brain iodine uptake ratio.<bold>Conclusions: </bold>Based on our results, endoscopic total thyroidectomy via UABA is technically feasible and has comparable surgical completeness to open total thyroidectomy for papillary microcarcinoma within 1 cm.
- Subjects
THYROID cancer treatment; THYROID cancer patients; COMPARATIVE studies; ENDOSCOPIC surgery; THYROIDECTOMY; PAPILLARY carcinoma; ONCOLOGIC surgery; AXILLA; ENDOSCOPY; LENGTH of stay in hospitals; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; NECK surgery; POSTOPERATIVE period; RESEARCH; THYROID gland tumors; EVALUATION research; SURGERY
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2016, Vol 30, Issue 9, p3797
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-015-4676-x