Efficacy of endoscopic thyroidectomy for benign thyroid disease through bilateral mammary areola
XIE Jingjun1,LIU Qingyuan2,WANG Hai1,XUE Guangqian1,ZHAO Guoqiang1,and WANG Huaizhi1
1. Department of General Surgery, Henan Provincial Corps Hospital, Chinese People’s Armed Police Forces, Zhengzhou 450052, China; 2. Department of Health Care, Clinic of Chinese People’s Armed Police Forces Headquaters, Beijing 100089, China
Abstract：Objective To study the clinical efficacy of endoscopic thyroidectomy through bilateral mammary areola for benign thyroid disease. Methods From January 2010 to January 2012, 165 patients with benign thyroid disease were recruited as subjects of the observation group, and from January 2009 to December 2009, 162 patients who underwent traditional open surgery were recruited as subjects of the control group.The clinical efficacy in the two groups was compared. Results The operation time in the observation group was longer than that in the control group, the difference was not statistically significant (P>0.05). The blood loss in the observation group (50.3±10.4) ml was less than that in the control group (100.7± 20.6) ml; the difference was statistically significant (P<0.05). The levels of postoperative IL-6 (21.45±1.42) pg/ml and TNF-α (26.58±1.62) pg/ml in the observation group were significantly lower than those in the control group (36.36±1.45, 35.51±1.53). The cosmetic effect satisfaction in observation group (8.9±0.8) was higher than that in the control group (4.2±0.4); the difference was statistically significant (P<0.05). Conclusions In the endoscopic thyroidectomy through bilateral mammary areola, the blood loss is less, the rate of postoperative complication is lower, especially the cosmetic effect satisfaction is better than in open surgery; so endoscopic thyroidectomy through anterior chest wall is worthy to be popularized.
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2014, Vol. 25 
