title: [Endoscopic thyroid surgery: a comparison of the trans-subclavian and the trans-areolar approach].
abstract: OBJECTIVE
  To compare the advantages and shortcomings of the endoscopic thyroid surgery by trans-subclavian approach and trans-areolar approach.
  
  
  METHODS
  Twelve patients received the trans-areolar approach and 10 patients were given the trans-subclavian approach procedure.
  
  
  RESULTS
  With the trans-areolar approach: the mean size of tumor was 1.8 cm, the mean operating time was 115 min, the mean blood loss during operation was 63 ml. Two patients converted to the conventional operation. With the trans-subclavian procedure: the mean size of tumor was 4.2 cm, the mean operating time was 85 min, the mean blood loss during operation was 66 ml. No complications were found in all of the patients and they were satisfied with the cosmetic effects of the procedures. There were significant differences in tumor size and operating time between the two operation types.
  
  
  CONCLUSIONS
  Compared with the trans-areolar approach, the trans-subclavian approach comes with less trauma, higher success rate and it fits for bigger tumor.
authors.affiliation: Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China. liuyuewu615@vip.sina.com
authors.forename: Yue-wu
authors.initials: YW
authors.lastname: Liu
authors.forename: Xiao-yi
authors.initials: XY
authors.lastname: Li
authors.forename: Hong-feng
authors.initials: HF
authors.lastname: Liu
authors.forename: Wei-sheng
authors.initials: WS
authors.lastname: Gao
authors.forename: Yu-pei
authors.initials: YP
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016606:Thyroid Nodule / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*; D016896:Treatment Outcome