Comparative analysis between air-free trans-axillary laparoscopic thyroidectomy and open thyroidectomy
Journal Title: Journal of Surgery : Concepts & Practice - Year 2023, Vol 28, Issue 1
Abstract
[Objective] To compare the clinical efficacy between air-free trans-axillary laparoscopic thyroidectomy and open thyroidectomy. [Methods] A retrospective analysis was performed on the data of both 96 patients who underwent air-free trans-axillary laparoscopic thyroidectomy (laparoscopic group) and 232 patients who underwent open thyroidectomy (open group) from August 2015 to July 2020. Comparative analysis were performed on operative data, the postoperative data of recovery and complications between two groups. [Results] The operative time in laparoscopic group was longer significantly than that in open group [(168±23) min vs. (95±18) min, P=0.022]. There was no significantly difference in the rate of recognition of recurrent laryngeal nerve between two groups (100.0% vs. 99.1%, P=0.138). The rate of recognition of both superior (98.0% vs. 97.0%, P=0.003) and inferior parathyroid glands (95.8% vs. 99.1%, P=0.028) in laparoscopic group was higher significantly than those in open group. The amount of drain of the first day after operation in laparoscopic group was more significantly than that in open group[(42±22) mL vs. (25±10) mL, P=0.006]. The postoperative length of hospital stay in laparoscopic group was longer significantly [(2.8±0.6) d vs. (1.8±1.2) d, P=0.016]. The cost of hospital stay was (13 186±1 015) yuan vs. (12 632±1 456) yuan （P=0.365） and the rate of postoperative complication was 10.4% vs. 9.1%（P=0.126）, which all showed no significant difference between two groups. [Conclusions] Air-free trans-axillary laparoscopic thyroidectomy could be feasible and safe, and have better appearance. However, both operative time and hospital stay were longer.
Authors and Affiliations
Wenqiang LIAO, Qinyu LI, Jianming YUAN, Weize WU, Mingliang WANG
Keywords
Related Articles
- EP ID EP750850
- DOI 10.16139/j.1007-9610.2023.01.14
- Views 34
- Downloads 0
Evaluation of stoma skin barrier in peristomal wound healing
[Objective] To assess the effect of stoma skin barrier in the treatment of peristomal wound. [Methods] Sixty patients of intestinal stoma with less than 10 cm from wound in our peristomal skin care departments of surgery...
Thyroid metastasis from hepatocellular carcinoma: a case report
We reported a case with huge mass in the anterior neck region, which pathological diagnosis was thyroid metastasis from hepatocellular carcinoma(HCC). A tracheotomy was performed, and a tracheostomy tube was placed becau...
<![CDATA[Prospects for updates on the field of liver surgery in âGuidelines for Diagnosis and Treatment of Primary Hepatocellular Carcinoma in China (2019 Edition)â]]>
<![CDATA[]]>
<![CDATA[Application of advanced integrated two-stage laparoscopic simulation training course in standardized training of surgical residents]]>
<![CDATA[Objective To explore the feasibility and rationality of advanced integrated two-stage laparoscopic simulation training course in standardized training of surgical residents. Methods From December 2019 to Decembe...
Efficacy of intraoperative indocyanine green fluorescence imaging evaluation for preventing anastomotic leakage after laparoscopic rectal cancer surgery
[Objective] To investigate the effect of indocyanine green(ICG) fluorescence imaging to indicate blood supply of sigmoid-rectal anastomosis in laparoscopic anterior resection of rectal cancer. [Methods] Here a retrospect...