title: Subcutaneous dissection area contributes less to endoscopic thyroidectomy-related invasiveness.
abstract: To clarify the contribution of the subcutaneous area during breast approach endoscopic thyroidectomy (BAET), with regard to invasiveness-related outcomes.
  
  
  
  Seventy-two patients were randomly assigned to two groups: standard dissection and limited dissection. Postoperative pain and inflammatory response were compared between groups.
  
  
  
  The groups were well matched except for subcutaneous dissection area (137.11 ± 21.10 vs. 83.69 ± 12.10 cm(2), p < 0.0001). No significant difference was found with regard to VAS score and postoperative inflammatory response.
  
  
  
  Our RCT indicated that the subcutaneous area plays a less important role with regard to BAET-related postoperative pain.
authors.affiliation: Department of General Surgery of Changzheng Hospital Affiliated to Second Military Medical University, No. 415 Fengyang road, Shanghai, 200003, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Department of General Surgery of General Hospital of Shanghai Division of Chinese People's Armed Police, Shanghai, 200062, China.
authors.forename: Qing-Hua
authors.initials: QH
authors.lastname: Wu
authors.affiliation: Department of General Surgery of Changzheng Hospital Affiliated to Second Military Medical University, No. 415 Fengyang road, Shanghai, 200003, China.
authors.forename: Zhi-Guo
authors.initials: ZG
authors.lastname: Jiang
authors.affiliation: Department of General Surgery of Changzheng Hospital Affiliated to Second Military Medical University, No. 415 Fengyang road, Shanghai, 200003, China. qiuming20066@aliyun.com.
authors.forename: Ming
authors.initials: M
authors.lastname: Qiu
mesh_terms: D000328:Adult; D004210:Dissection; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D010149:Postoperative Pain; D013965:Thyroidectomy / Q000379:methods*; D064232:Visual Analog Scale
keywords: Endoscopic thyroidectomy; Microinvasive; Subcutaneous dissection