Clinical Efficacy Analysis Of Endoscopic Surgery And Open Surgery For Thyroid Cancer With Hashimoto’s Thyroiditis

[Objective]To compare the efficacy of endoscopic surgery through total areola approach and open surgery in treatment of Hashimoto’s thyroiditis with papillary thyroid carcinoma,so as to provide reference for its surgical approach selection selection.[Methods]The clinical data of 273 patients with treatment of Hashimoto’s thyroiditis with papillary thyroid carcinoma undergoing surgical treatment in the Second Xiangya Hospital of Central South University from January 2018 to January 2021 were retrospectively analyzed.Of the patients,60 cases underwent laparoscopic thyroidectomy(laparoscopic group)and 213 cases underwent open thyroidectomy(open surgery group).The main clinical variables were compared between the two groups of patients.[Results] Compared with the open group,the endoscopic group had less intraoperative blood loss,longer operation time,more postoperative drainage(all P<0.05).There were no significant differences in the number of lymph node dissection and length of hospital stay between the two groups(all P>0.05).Observed by surgical resection,in the "Thyroid lobectomy" group,the endoscopic group had more postoperative drainage(P<0.05).In the "total thyroidectomy " group,the endoscopic group had less intraoperative bleeding,longer operation time,more postoperative drainage(all P<0.05);In the "cervical lymph node dissection" group,the operation time of endoscopic group was longer(P<0.05).There were no statistical differences in the incidence of skin paralysis,subcutaneous hematoma,hoarseness,tone change/water choking,hypocalcemia numbness,wound infection and lymphatic leakage between the two groups(P>0.05),and the incidence of postoperative neck discomfort in the endoscopic group was significantly lower than that in the open group(P<0.05).There were no significant differences in pain score,postoperative 1-year survival rate and recurrence rate(all P>0.05).[Conclusion] Endoscopic total areola approach for the treatment of PTC with HT is safe and has the advantages of less intraoperative bleeding,less neck discomfort and no neck marks.