AUTHOR=Zhou Yuqiu , Shui Chunyan , Ma Linjie , Cai Yongcong , Sun Ronghao , Jiang Jian , Zeng Dingfen , Wang Xu , Xu Xiaoli , Huang Pei , Li Chao 

TITLE=The updated surgical steps of gasless transaxillary endoscopic thyroidectomy with neck level and region orientation for thyroid cancer

JOURNAL=Frontiers in Oncology

VOLUME=Volume 14 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2024.1377878

DOI=10.3389/fonc.2024.1377878

ISSN=2234-943X

ABSTRACT=No outcome, surgical trauma and parathyroid gland(PG) function protection were analyzed.Of the 302 patients, 184 underwent with early procedure(EP), and 118 underwent with updated procedure(UP). The surgical outcomes of operative time, time of thyroidectomy and central neck dissection, blood loss, drainage and postoperative hospital stay were shorter in UP than that of the EP. The mean number of lymph nodes retrieved and weight of dissection lymphatic tissue in the UP were significantly more than that in EP without increasing the mean number of metastatic lymph nodes. Postoperative complications did not differ between the two procedures. The UP had more advantages in the identification and preservation of the superior parathyroid gland, however, it did not improve the preservation in situ of the inferior parathyroid gland. The visual analog scale score for pain and the changes among inflammation factors was lower in the UP.The UP of GTET could perform safely and efficiently while reducing surgical trauma in selected patients.