Comparison of laparoscopic assisted small incision in the neck surgery and traditional open surgical treatment of benign thyroid / 中国基层医药

ABSTRACT

Objective To compare the neck incision laparoscopic assisted surgery and conventional open surgical treatment of thyroid benign clinical efficacy,and explore the small incision endoscopic assisted neck safety and effectiveness.Methods According to a random number table,100 patients with benign thyroid were randomly divided into the control group and observation group,50 cases in each group.The patients in the observation group were underwent endoscopic assisted small incision neck surgery,and the patients in the control group of traditional open surgery.The efficacy of postoperative of the two groups was observed and compared.Results The operative time,hospitalization time,blood loss,drainage,drainage time of the observation group was (57.4 ±11.7)min,(3.2 ± 1.0)d,(9.4 ±5.2)mL,(21.4 ±13.5)mL,(1.7 ±0.8)d,which were better than those of the control group(t=8.577,6.352,17.563,12.970,6.273,all P<0.05);The overall incidence of complications in the observation group after the treatment was 8%,which was significantly lower than 30% in the control group(χ2 =7.86,P<0.05). Conclusion Endoscopic surgery assisted small incision in the neck benign thyroid is superior to traditional open sur-gery,and is a simple,effective and safe surgical approach.Compared to traditional open surgery,it has better cosmetic results,which is worthy of clinical application.