Comparison of total endoscopic thyroidectomy with conventional open thyroidectomy for treatment of papillary thyroid cancer

Ala’a Sulaiman M Almehmadi, Raghad Fraih A Al-Balawi, Musab Abdulrahman D Almalki, Mahdi Ali M Alyami, Abdulmajeed Mousa M Alzahrani, Omniyyah Mohammed S Alatawi, Ghadah Eid M Alatwi, Shouq Abdullah O Alwabisi, Lama Muaysh M Aljohani, Ziad Saleh D Albalawi, Abdulelah Hamdan K Alonizei, Afaf Othman Baomar, Sondos Ali A Alqahtani, Najat Abubakar Y Ibrahim, Nada Naif Z Alshammari, Ibrahim Mahmoud H Ajwah


Recent advance of endoscopic techniques has allowed surgeons to perform thyroidectomy via an incision placement at hidden places which lead to better cosmetic acceptability compared with conventional open thyroidectomy.

This study was conducted to summarize the current evidence that compare open thyroidectomy with endoscopic ‎thyroidectomy in treatment of papillary thyroid cancer‎.‎

An electronic literature review, including PubMed, Google Scholar, and EBSCO that examining randomized trials of endoscopic thyroidectomy (ET), conventional open thyroidectomy (COT), and management of papillary thyroid carcinoma was carried out.

The review included 8 randomized studies that compare total endoscopic thyroidectomy versus conventional open thyroidectomy in treatment of papillary thyroid cancer. The findings showed endoscopic thyroidectomy had statically significant cosmetic appearance, less amount of blood loss and occurrence of transient hypocalcaemia than conventional open thyroidectomy in form of cosmetic outcome, amount lower blood loss.

The current review showed that, ET has a better cosmetic outcome and lower blood loss compared with COT. While COT was associated with significantly low operation time, hospital stay, drainage time, amount of drainage fluid and transient recurrent laryngeal nerve (RLN) palsy.
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