Curative effect and security of thyroidectomy with minimal incision in neck to treat thyroid benign neoplasm under laparoscopy / 中国现代医生

ABSTRACT

Objective To compare and analyze the curative effect and security of thyroidectomy with minimal incision in neck under laparoscopy and traditional open thyroid operation to treat thyroid benign neoplasm. Methods A total of 68 cases of patients with thyroid benign neoplasm were given the operation in Beilun District People's Hospital during the period from January 2013 to January 2014, and they were divided into laparoscopy assisted group (n=34) and control group (n=34). The patients in laparoscopy assisted group were given minimal incision in neck under laparoscopy, while the patients in control group were given open thyroid operation. The operation time, intraoperative amount of blood, postoperative amount of drainage, time of extubation, incision length, length of stay (LOS) and operative occurrence of complication were observed and compared. Results The operation time, intraoperative amount of blood, postoperative amount of drainage, time of extubation, incision length, length of stay (LOS) and operative occurrence of complication of patients in laparoscopy assisted group [(53.75±12.76)min, (12.46±3.27)mL, (28.89±6.47)mL, (2.13±0.57)d, (3.17±0.84) cm, (3.45±0.73)d, 5.9%]were obviously shorter or less or lower than those in control group [(85.46±15.46)min, (14.68±4.18)mL, (32.18±7.03)mL, (3.42±0.64)d, (5.42±1.13)cm, (4.88±0.95)d, 23.5%] (P<0.01 or P<0.05). After a median fol low-up of (9.7±1.8) months (range from 4 to 16 months), 1 case in laparoscopy assisted group and 3 cases in control group were recurred. The recurrent rate in two groups had no difference(χ2=0.27, P>0.05). Conclusion Compared with traditional open thyroid operation, thyroidectomy with minimal incision in neck under laparoscopy to treat thyroid be-nign neoplasm have the following advantages, shorter operation time, less intraoperative amount of blood, quicker post-operative recovery, more favorable cosmetic effect, less postoperative complication and so on.