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01-09-2012 | Original Article

Systematic comparison of cervical and extra-cervical surgical approaches for endoscopic thyroidectomy

Authors: Chen Geng-Zhen, Zhang Xuan, Shi Wei-Lin, Zhuang Ze-Rui, Chen Xi, Han Hui

Published in: Surgery Today | Issue 9/2012

Abstract

Objective

To evaluate the clinical application of different surgical approaches for endoscopic thyroidectomy and provide more rational treatment criteria.

Methods

Collect all randomized controlled trials, multi-center studies, clinical controlled trials, clinical trials and other comparative studies of endoscopic thyroidectomy with a large sample size in different databases through an established search strategy, make a systematic analysis of all the included literature.

Results

This study selected 12 publications for analysis from more than 800 articles: these included six publications describing cervical thyroidectomy (A) and six publications describing extra-cervical thyroidectomy (B). Conversion to open surgery occurred in 29 patients in group A and only 4 in group B (p < 0.001). The patients in group A experienced shorter hospital stays than patients in group B (1.90 ± 0.80 vs. 4.03 ± 0.99 days, p < 0.001), and there was shorter operating time in group A (p < 0.001). Hemorrhage occurred in 3 cases in group A and 8 cases in group B (p = 0.04), Seroma occurred in 25 cases in group B but in no cases in group A (p < 0.001). Postoperative cosmetic results evaluated by verbal response scales (VRS) registered showed: group A (3.35 ± 0.60) and group B (3.74 ± 0.50; p < 0.001). Other complications such as recurrent laryngeal nerve injury and hypocalcemia showed no significant differences.

Conclusions

Evaluation of the different surgical approaches for endoscopic thyroidectomy shows that the incidence of hemorrhage and seroma are higher in the extra-cervical group, but the rate of conversion to conventional open surgery is significantly higher in the cervical group. Furthermore, patients who undergo extra-cervical endoscopic thyroidectomy are associated with longer operating time and hospital stays; however, these studies suggest that the extra-cervical surgical approach for endoscopic thyroidectomy is preferable for dealing with more kinds of thyroid tumor and leaving no scars on neck.

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Title: Systematic comparison of cervical and extra-cervical surgical approaches for endoscopic thyroidectomy
Authors: Chen Geng-Zhen
Zhang Xuan
Shi Wei-Lin
Zhuang Ze-Rui
Chen Xi
Han Hui
Publication date: 01-09-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 9/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-011-0100-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Systematic comparison of cervical and extra-cervical surgical approaches for endoscopic thyroidectomy

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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