Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (1): 18-21 DOI: 10.16260/j.cnki.1009-2188.2018.01.005 |
| Clinical Research |
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| The Clinical Effect of Single-site Laparoscopic Thyroidectomy by the Axillary Approach |
| TANG Zhi-qiang,SHAN Yuan-zhou
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| Department?of?General?Surgery,Shanghai?Fengxian?District?Central?Hospital,Shanghai?201400,China |
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Abstract Objective?To investigate the clinical effect of single-site laparoscopic thyroidectomy by the axillary approach for treatment of thyroiddiseases.Methods?A retrospective analysis was conducted in 80 cases with thyroiddiseases.40 cases admitted from January 2016 to December 2016 were regarded as the observation group and performed single-site laparoscopic thyroidectomy by the axillary approach,including 23 cases of thyroma and 17 cases of nodular goiter; Another 40 cases selected from December 2014 to December 2015 were regarded as the control group and carried out open thyroidectomy.Results?The blood loss and post-operativehospital stays were lower,the operation time was longer,the cosmetic NSS score and clinical effective rate werehigher in the observation group than those in the control group,and all thedifferences were statistical (P<0.05).There were 2 of subcutaneoushydrops and 2 of nerve injury in the observation group,3 of nerve injury in the control group,and no statisticaldifference in complication rate between two groups (P>0.05).Conclusion?The single-site laparoscopic thyroidectomy by the axillary approach can improve the perioperative outcomes and the clinical curative effect,increase the cosmetic results,and itdeserve popularization.
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Published: 13 August 2018
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Corresponding Authors:
SHAN Yuan-zhou
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