title: [Clinical utility of needlescopic in hemithyroidectomy and central neck dissection through bilateral breast approach].
abstract: OBJECTIVE
  To study application of needlescopic assisted hemithyroidectomy and central neck dissection using bilateral breast approach.
  
  
  METHODS
  Totally 145 cases of papillary thyroid cancer patients received endoscopic hemithyroidectomy in Fujian Medical University Union Hospital were randomized to needle assisted endoscopic group (NE group, n=81) and conventional endoscopic group (CE group, n=64). The average age of the patients was 35.9 years and 11 patients were male.All patients underwent hemithyroidectomy and central neck dissection through bilateral breast approach, the NE group additional used the MiniLap-assisted intraoperation.The operative time, postoperative complications and cosmetic results were analyzed by t-test and χ(2) test.
  
  
  RESULTS
  The operation time of thyroid gland in NE and CE Group was (42±7) min and (31±7) min(t=9.082, P=0.000), respectively. The operation time of central neck dissection was (33±6) min and (26±3) min (t=9.050, P=0.000), respectively.There were 4 cases occurs transient recurrent laryngeal nerve paralysis in CE group and no case occur in NE group(χ(2)=5.206, P=0.036). There was no significant different in other postoperative complications and cosmetic results.
  
  
  CONCLUSIONS
  Hemithyroidectomy and central neck dissection using bilateral breast approach and needlescopic assisted technique isa safe and reliable approach, with high cosmetic effect. Application needle assistive devices can shorten the operation time while no significant increase trauma in patients, it will makes endoscopic thyroid surgery easier to promote.
authors.affiliation: Department of Thyroid Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Wang
authors.forename: Wenxin
authors.initials: W
authors.lastname: Zhao
authors.forename: Shouyi
authors.initials: S
authors.lastname: Yan
authors.forename: Liyong
authors.initials: L
authors.lastname: Zhang
authors.forename: Wenjin
authors.initials: W
authors.lastname: Li
mesh_terms: D000328:Adult; D001940:Breast; D002277:Carcinoma / Q000601:surgery*; D002291:Carcinoma, Papillary; D004724:Endoscopy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D037981:Neck Dissection; D009339:Needles; D061646:Operative Time; D011183:Postoperative Complications; D000077273:Thyroid Cancer, Papillary; D013964:Thyroid Neoplasms / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*