Department of Medical and Surgical Critical Care, Medical School, University of Florence, Florence, Italy.
Head Neck. 2013 Sep;35(9):1345-8. doi: 10.1002/hed.23125. Epub 2012 Aug 21.
The role of minimally invasive surgery in Graves' disease is still controversial. The aim of this study was to compare the clinical outcomes of patients undergoing minimal-incision thyroidectomy with those undergoing conventional thyroidectomy for Graves' disease.
A prospective study was performed on 148 patients undergoing total thyroidectomy. Seventy-one patients underwent minimal-incision thyroidectomy and 77 underwent conventional thyroidectomy. Minimal-incision thyroidectomy was proposed if the thyroid volume was ≤ 50 mL.
There were no significant differences in the operative time between minimal-incision thyroidectomy and conventional thyroidectomy. The length of skin incision was significantly shorter in the minimal-incision thyroidectomy than that in the conventional thyroidectomy group. The incidence of postoperative complications was similar in the 2 groups. Patients undergoing minimal-incision thyroidectomy experienced significantly less postoperative pain and were more satisfied with the cosmetic result than patients who underwent conventional thyroidectomy.
Minimal-incision thyroidectomy is a feasible and safe option for the surgical treatment of selected patients with Graves' disease.
微创外科在格雷夫斯病中的作用仍存在争议。本研究旨在比较接受微创甲状腺切除术和常规甲状腺切除术治疗格雷夫斯病患者的临床结果。
对 148 例接受甲状腺全切除术的患者进行前瞻性研究。71 例患者接受微创甲状腺切除术，77 例患者接受常规甲状腺切除术。如果甲状腺体积≤50ml，则建议进行微创甲状腺切除术。
微创甲状腺切除术与常规甲状腺切除术的手术时间无显著差异。微创甲状腺切除术组的皮肤切口长度明显短于常规甲状腺切除术组。两组术后并发症发生率相似。与接受常规甲状腺切除术的患者相比，接受微创甲状腺切除术的患者术后疼痛明显减轻，对美容效果更满意。
微创甲状腺切除术是一种可行且安全的选择，适用于治疗选定的格雷夫斯病患者。
