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 16
- Downloads 0
Risk factors of severe postoperative complications in elderly patients with pancreaticoduodenectomy
[Objective] To investigate the risk factors of severe complications of elderly patients with pancreaticoduodenectomy (PD). [Methods] The clinical data of 399 elderly patients with PD and 65 years or more (65-91years) inc...
Advantages and advances in neoadjuvant therapy of pancreatic cancer
Due to the characteristics of the insidious onset, difficult early diagnosis and high malignancy of pancrea-tic cancer, only a minority of patients still have the chance of surgical resection at the time of diagnosis. In...
Clinical evaluation of endoscopic linea alba plication in treatment of postpartum diastasis recti abdominis muscles
[Objective] To conduct a retrospective study on the clinical efficacy with endoscopic linea alba plication (ELAP) in the treatment of postpartum diastasis recti abdominis muscles. [Methods] Clinical data was collected to...
Progress of minimally invasive thyroid surgery
The incidence of thyroid cancer has increased in recent years. The desire for aesthetics and quality of life, combined with the development of energy devices and robotics make surgeons introduction of minimally invasive...
Prevention and control of multidrug-resistant bacteria infection in surgical patients
The current situation of multidrug-resistant bacteria infection in surgical patients is becoming increasingly severe. Effective prevention of cross transmission of multidrug-resistant bacteria and common site infections...