Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (4): 161-167.doi: 10.6040/j.issn.1673-3770.0.2025.100

• Original Article • Previous Articles     Next Articles

Comparison of safety and efficacy between transaxillary endoscopic thyroidectomy and conventional open thyroidectomy for Stage T1 thyroid carcinoma

ZHANG Zhonghua1, WANG Hui1, WANG Junxin1, ZHANG Meiling1, ZHANG Jian1, ZHANG Endong1, PAN Xinliang2   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Weihai Second Municipal Hospital of Qingdao University, Weihai 264200, Shandong, China2. Department of Otorhinolaryngology & Head and Neck Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Online:2025-07-20 Published:2025-08-11

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Abstract: Objective The objective of this study is to compare the safety and efficacy of transaxillary non-inflatable endoscopic thyroidectomy versus conventional open thyroidectomy in the treatment of stage T1 thyroid carcinoma. Methods A retrospective analysis was performed on 50 patients who underwent transaxillary non-inflatable endoscopic thyroidectomy(experimental group)and 50 patients who received conventional open thyroidectomy(control group). Patients were selected from cases of stage T1 thyroid carcinoma between July 16, 2022 and July 16, 2024. Using propensity score matching(1∶1 ratio)based on gender, age, body mass index, tumor size, and tumor location. Comparison of operative outcomes between the two groups included: operative time, intraoperative blood loss, number of lymph nodes harvested, positive lymph nodes detection rate, postoperative hospitalization time, hospitalization costs, postoperative neck pain(assessed by VRS-5), complication rates, and neck cosmetic satisfaction. Results The operation time, hospitalization costs and satisfaction with the neck appearance of the experimental group were significantly higher than those of the control group, and the differences were statistically significant(both P<0.05). The experimental group showed significantly lower postoperative neck pain intensity compared to the control group, with a statistically significant difference(Z=-4.22, P<0.001). No statistically significant differences were observed in intraoperative blood loss, number of lymph nodes harvested, positive lymph nodes detection rate, postoperative hospitalization time, or complication rates(both P>0.05). During follow-up(6-24 months), no tumor recurrence occurred in either group. Conclusion Transaxillary non-inflatable endoscopic thyroidectomy has been shown to provide an effective radical treatment for stage T1 thyroid carcinoma. In comparison with the conventional open thyroidectomy, this approach has been shown to yield superior cosmetic outcomes, significantly reduce postoperative neck pain, and may enhance patients' quality of life.

Key words: Stage T1 thyroid carcinoma, Thyroidectomy, Transaxillary non-inflatable endoscopic thyroidectomy, Conventional open thyroidectomy

CLC Number: 

  • R653
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