Historically, performing a contralateral thyroid lobectomy and lymph node dissection via the subclavian approach was considered challenging. This study aimed to evaluate the safety and feasibility of single-incision gasless endoscopic total thyroidectomy and central compartment neck dissection via the subclavian approach (SCA) in comparison to conventional open surgery for the treatment of papillary thyroid carcinoma (PTC) retrospectively.
(1) thyroid neoplasm <3.0 cm;
(2) well differentiated papillary thyroid carcinoma.
(1) extrathyroidal extensions estimated in ultrasonography scan;
(2) enlarged lymph nodes in lateral neck compartment on palpation, or US scan;
(3) suspected distant metastases;
(4) previous history of neck radiation therapy and/or surgery.
The patients, who were diagnosed with papillary thyroid carcinoma at our center, chose to undergo either single-incision, gasless endoscopic total thyroidectomy with central compartment neck dissection via the subclavian approach or conventional open surgery.
Cohort
Retrospective
single-incision, gasless endoscopic total thyroidectomy with central compartment neck dissection
Procedure/SurgeryThe included patients chose to undergo single-incision, gasless endoscopic total thyroidectomy with central compartment neck dissection via the subclavian approach based on patients preference.
conventional open surgery
Procedure/SurgeryThese patients chose to undergo total thyroidectomy with central compartment neck dissection via conventional open surgery based on patients preference.
the disease-free survival
The disease-free survival refers to the probability of survival without any biologic, structural, or functional events.
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