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| Experience of Radical Surgical Thyroid Cancer Treatment by Lumpectomy with Scarless Transaxillary Approach to the Neck |
| WANG Tianqi, AO Yazhou, QI Yantao, et al |
| The Affiliated Hospital of Chengde Medical University, Hebei Chengde 067000, China |
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Abstract Objective: To explore the safety and efficacy of scarless transaxillary approach to the neck for radical lumpectomy of thyroid cancer. Methods: The medical records of 224 patients with unilateral micropapillary thyroid cancer treated by transaxillary approach lumpectomy and conventional neck incision from December 2020 to May 2022 were collected from the Department of Thyroid Surgery, Affiliated Hospital of Chengde Medical University. They were divided into two groups according to the mode of surgery: the axillary group of 100 cases, 13 males and 87 females, and the neck group of 124 cases, 19 males and 105 females.Comparative analyses were made in terms of operative time, surgical approach, drainage, surgical bleeding, number of lymph nodes dissected in the central region, the average length of stay, postoperative complications, tumor recurrence or metastasis, and cosmetic outcome. Results: The axillary group was younger than the neck group (P<0.01); the operation took longer than the neck group (P<0.01); and there was more postoperative drainage than the neck group (P<0.01). There was no statistically significant difference between the two groups in terms of mean length of stay, the number of lymph nodes dissected in the central region, and mean bleeding (P>0.05). In terms of postoperative complications, there were no statistically significant differences in postoperative hematoma, temporary damage to the recurrent laryngeal nerve, postoperative incision infection, lymphatic leakage, postoperative limitation of neck movement, and tumour recurrence (P>0.05). Statistically significant (P<0.01) in terms of postoperative pain and swallowing discomfort, postoperative numbness in the supraclavicular region, and cosmetic satisfaction. Conclusion: Compared to conventional open neck surgery, axillary approach lumpectomy is a safe and feasible procedure for patients with microscopic papillary thyroid cancer, as it can achieve radical cure of the tumor while preserving the function of the anterior neck area and taking into account the cosmetic effect.
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2023, Vol. 29 
