A comparative study of three-dimensional versus two-dimensional laparoscopic subtotal thyroidectomy via a breast approach / 南方医科大学学报

ABSTRACT

<p><b>OBJECTIVE</b>To explore the safety, efficacy and feasibility of 3D laparoscopic subtotal thyroidectomy via a breast approach.</p><p><b>METHODS</b>The clinical data of 30 patients undergoing 3D laparoscopic subtotal thyroidectomy via a breast approach were analyzed in comparison with 30 patients receiving traditional laparoscopic subtotal thyroidectomy during the period from September, 2013 to December, 2013. The operation time, blood loss, postoperative drainage, postoperative hospital stay, and total hospitalization expenses were compared between the two groups.</p><p><b>RESULTS</b>The operation time in the 3D group was significantly shorter than that in the 2D group (45∓26.3 vs 62∓24.8 min, t=0.53, P<0.05). The intraoperative blood loss, postoperative drainage, postoperative hospital stay and total hospitalization expenses did not show significant differences between the two groups.</p><p><b>CONCLUSIONS</b>3D laparoscopic subtotal thyroidectomy via a breast approach is safe and effective and shortens the operation time, and can be used as a routine operation for subtotal thyroidectomy.</p>