Clinical Study of Endoscopic Thyroidectomy by Anterior Chest Approach and Modified Miccoli Thyroidectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GUAN Qiang ¹ , WANG Guimin ¹ , WANG Hongsheng ²

1.Department of Thyroid Surgery, The First Hospital of Jilin University, Changchun 130021, China;;
2.The First Department of General Surgery, Affiliated Hospital of Beihua University, Jilin 132011, Jilin Province, China;

Corresponding author：

Keywords：

Anterior chest approach; Modified Miccoli; Endoscope; Thyroidectomy

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Objective To compare the therapeutic effects between endoscopic thyroidectomy by anterior chest approach and modified Miccoli thyroidectomy.
Methods Sixty patients with thyroid goiter were performed endoscopic thyroidectomy by anterior chest approach (endoscopic thyroidectomy by anterior chest approach group, n=30) and modified Miccoli thyroidectomy (modified Miccoli group, n=30) respectively. The operative time, the drainage volume, cosmetic benefit, the postoperative hospitalization time, the expenses of hospitalization and postoperative complications of two groups were compared.
Results The operative time and the drainage volume after operation of endoscopic thyoidectomy by anterior chest approach group were significantly more than modified Miccoli group 〔(99.9±23.4) min vs. (74.0±29.6) min; (68.6±8.7) ml vs. (40.9±6.1) ml, respectively〕, P lt;0.05. The cosmetic benefit score of endoscopic thyoidectomy by anterior chest approach group was higher than that of modified Miccoli group 〔(4.7±0.2) points vs. (3.7±0.1) points〕, P lt;0.05. The postoperative hospitalization time and expenses of hospitalization were no significant differences between the two groups 〔(6.5±1.7) d vs. (5.5±0.9) d; (9 328.3±1 107.1) yuan vs. (8 568.2±1 032.3) yuan, respectively〕, P gt;0.05. One case had transient hoarseness in 2 groups respectively, no other complications happened.
Conclusions Modified Miccoli operation is both minimally invasive and cosmetic, but endoscopic thyroidectomy by anterior chest approach has better cosmetic benefit, which can release patients’ psychological trauma. The patients with specific cosmetic demand may choose endoscopic thyroidectomy by anterior chest approach.

Citation： GUAN Qiang ,WANG Guimin,WANG Hongsheng. Clinical Study of Endoscopic Thyroidectomy by Anterior Chest Approach and Modified Miccoli Thyroidectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(3): 240-242. doi: Copy

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1. 高力. Miccoli内镜术式与甲状腺手术操作的微创化 [J]. 中华外科杂志, 2006; 44(1): 1014.
2. 吕磊, 马少林, 伊其忠. 美容整形受术者心理评估与术后满意度的相关性研究 [J]. 现代生物医学进展, 2008; 8(1): 141143.
3. Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism [J]. Br J Surg, 1996; 83(6): 875878.
4. Hüscher CS, Chiodini S, Napolitano C, et al. Endoscopic right thyroid lobectomy [J]. Surg Endosc, 1997; 11(8): 877880.
5. 王亚楠. 腔镜甲状腺手术的发展现状 [J]. 国际外科学杂志, 2006; 33(4): 315318.
6. Kitano H, Fujimura M, Kinoshita T, et al. Endoscopic thyroid resection using cutaneous elevation in lieu of insufflation [J]. Surg Endosc, 2002; 16(1): 8891.
7. 杨鹏, 牟一平, 朱玲华. 内镜辅助下单个小切口甲状腺手术 [J]. 中国内镜杂志, 2006; 12(7): 758760.
8. 胡友主, 王存川. 腔镜甲状腺切除术二氧化碳对血气的影响 [J]. 中国内镜杂志, 2007; 13(9): 919920, 923.
9. 周争, 王家东, 谢明. 超声刀致喉返神经损伤电生理检测和电镜观察 [J]. 上海交通大学学报（医学版）, 2009; 27(9): 10621064.
10. Owaki T, Nakano S, Arimura K, et al. The ultrasonic coagulating and cutting system injures nerve function [J]. Endoscopy, 2002; 34(7): 575579.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Study of Endoscopic Thyroidectomy by Anterior Chest Approach and Modified Miccoli Thyroidectomy

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