ArticleFrontiers in oncology2025
Comparison of surgical trauma between three endoscopic thyroidectomy approaches and open surgery.
Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Objective: This study aims to conduct a comparative analysis of surgical trauma between three endoscopic thyroidectomy approaches (anterior chest, transoral, and unilateral axillary) and conventional open thyroidectomy (COT) in treating unilateral thyroid carcinoma. Methods: A retrospective analysis was conducted on 200 patients with unilateral differentiated thyroid carcinoma treated at Luoyang Central Hospital affiliated with Zhengzhou University from January 2022 to December 2024. The cohort included 50 patients each: bilateral areolarapproach endoscopic thyroidectomy (BAET), transoral endoscopic thyroidectomy vestibular approach (TOETVA), axillary approach endoscopic thyroidectomy (AAET), and COT. The patients were divided into three groups based on general conditions such as gender, age, and BMI (BAET vs COT; TOETVA vs COT; AAET vs COT).Parameters compared included flap dissection area, perioperative outcomes, postoperative complications, inflammatory markers, postoperative pain (visual analog scale [VAS] score), and cosmetic satisfaction at 3 months;Patients were categorized into normal (BMI < 24 kg/m Results: The mean age of patients in the three endoscopic thyroidectomy groups was significantly lower than that in the open group ( Conclusion: In appropriately selected patients, total endoscopic thyroidectomy does not significantly increase surgical trauma compared with COT. It offers improved cosmetic outcomes, which supports its favorable clinical applicability.
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