[Comparison of endoscopic monolateral anterior chest approach and conventional approach on thyroid bilateral gland lobe disease.].
OBJECTIVE
To study on thyroid bilateral gland lobe disease with endoscopic monolateral anterior chest approach.


METHODS
Twenty patients experienced thyroid bilateral gland lobe surgery with endoscopic monolateral anterior chest approach; 24 experienced conventional surgery simultaneously and were enrolled in control group. Two groups were compared at surgical style, complications, surgical time, length of stay in hospital, incision cosmetic result and incision pain etc. Criteria of patients selected for thyroid bilateral gland lobe surgery with endoscopic monolateralanterior chest approach:with no surgical history of thyroid or other neck-related diseases and no chemotherapy; diagnosed with benign tumor according to presurgery CT result and thyroid functional examination. Diameter of tumor on both sides should be smaller than 4 cm, one side smaller than 2 cm, located at lower middle part of gland lobe and near to gland surface.


RESULTS
Patients in both groups matched in age and sex; scorings on surgical style, hospital stay, postoperative drainage, and postoperative pain were not significantly distinctive. Endoscopic group had less bleeding volumn than conventional group during surgery, better cosmetic results, but longer surgical duration and higher cost of hospitalization. Both groups occurred no permanent glottic paralysis and hypocalcemia, no recurrence. Endoscopic group had one case ecchymoma; one case temporary glottic paralysis; both recovered in one month. Complication incidence in both groups was not significantly distinctive (chi(2) = 2.514, P = 0.201).


CONCLUSIONS
Gasless endoscopic monolateral anterior chest approach can well treat selected thyroid bilateral gland lobe disease and with a better cosmetic result than conventional surgery.
Cai
Qian
Q
Department of Otorhinolaryngology Head Neck Surgery, Second Affiliated Hospital, SUN Yat-sen University, Guangzhou 510120, China.
Huang
Xiao-Ming
XM
Sun
Wei
W
Zheng
Yi-Qing
YQ
Lu
Xing
X
Guo
Ming-Ming
MM
Chen
Bin
B
Liang
Fa-Ya
FY
Han
Ping
P
D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D013959:Thyroid Diseases / Q000601:surgery; D013964:Thyroid Neoplasms / Q000601:surgery; D013965:Thyroidectomy