Surgical Approaches for Treatment of Thyroid Cancer Undergoing Three-dimensional Laparoscopic Radical Surgery and Comparison of Wound Conditions

Abstract

Objective To investigate the choice of surgical approach for the treatment of thyroid cancer undergoing three-dimensional laparoscopic radical surgery and compare the wound conditions. Methods 78 cases of thyroid cancer who underwent three-dimensional laparoscopic surgery in our hospital from June 2014 to April 2017 were retrospectively analyzed. According to the surgical approach, they was divided into thoracic approach group and anterior approach group. Among them, 40 cases of thoracic approach group were given thoracic approach, and 38 cases of anterior approach group were given anterior approach. All data were statistically analyzed using SPSS21.0 software. Perioperative indicators were described using (±s) and compared with independent t test. Postoperative complications and aesthetic satisfaction of postoperative incision were compared by χ2 test. The difference was statistically significant at P<0.05. Results There were no significant differences in perioperative indexes between the two groups, such as intraoperative blood loss, postoperative drainage, operation time, length of hospital stay, and number of lymph node dissection (P>0.05). However, postoperative pain scores in the thoracic approach group were significantly lower than those in the anterior cervical approach group (P 0.05), while the incidence of dysphagia in the thoracic approach group was significantly lower than that in the anterior approach group (P<0.05). The aesthetic satisfaction of postoperative incisions in the thoracic approach group was significantly higher than that in the anterior cervical approach group (P<0.05). Conclusion 3D laparoscopic radical thyroidectomy via thoracic approach is effective, safe and reliable. The postoperative incisions are more aesthetically pleasing.It is worthy of further clinical promotion. Key words: Thyroid neoplasms; Laparoscopes; Imaging, three-dimensional; Comparative study