Standardization of simple auxiliary method beneficial to total endoscopic thyroidectomy on patients with PTC, based on retrospective study of 356 cases.

Abstract

Total endoscopic thyroidectomy (TET) is paid increasing attention to by patients, especially those with thyroid carcinoma. The aim of this study is to evaluate the clinic feasibility of standardization of simple auxiliary method (SOSAM) involved in operating bed adjustment, location of skin traction points and thyroid retractor points for the TET via bilateral breast approach. A retrospective study was performed on 356 patients with thyroid carcinoma, who had undergone the TET. Patients were divided into Group A (with the SOSAM) and Group B (without the SOSAM). This study compares the surgical outcome parameters between the two groups, including the total operative time, hemorrhage volume during operation, postoperative hospitalization days, numbers of dissecting and metastatic lymph nodes, and postoperative complication. The total operative time, hemorrhage volume and postoperative hospitalization days in Group A were significantly lower than those in Group B (P < 0.05). Nevertheless no statistically significant differences were found in both groups in terms of other observation indexes (P > 0.05), including numbers of dissecting and metastatic lymph nodes, and postoperative complication. Meanwhile, there were no patients with incision and surgical site infection, air embolism, and flap injury occurred in both groups. The clinical application of the SOSAM can effectively decrease the total operative time and hemorrhage during operation. Moreover, it can be used in a wider range of popularization to improve the operative effect for total endoscopic thyroidectomy.