Application of lateral supraclavicular incision in unilateral thyroid papillary carcinoma surgery

xlomafota13 shared this article with you from Inoreader Application of lateral supraclavicular incision in unilateral thyroid papillary carcinoma surgery Via Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial Braz J Otorhinolaryngol. 2021 Apr 20:S1808-8694(21)00069-0. doi: 10.1016/j.bjorl.2021.03.010. Online ahead of print. ABSTRACT INTRODUCTION: The standard approach to thyroidectomy is a collar incision via the anterior neck, and the neck scar has always been a source of worry for patients. Acceptable wound cosmetology has become a focus for thyroid surgeons. OBJECTIVE: To verify the effectiveness and cosmetic results of thyroidectomy through a lateral supraclavicular incision. METHODS: 180 patients were randomly divided into two groups: a lateral supraclavicular approach and a conventional transcervical approach. The main outcomes included incision length, intraoperative blood loss, operative time, total drainage volume, hospitalization expense, early postoperative pain measured by visual analog scale, infection, and perceived cosmetic outcome. RESULTS: There were no statistical significances between the two groups in t erms of age, gender, nodule size, intraoperative blood loss, operative time, total drainage volume, hospital expense and postoperative complications, whereas there were significant differences in terms of incision length (5.2±1.04cm vs. 6.9±1.14cm, p<0.05). CONCLUSIONS: The lateral supraclavicular incision is a safe and feasible approach for thyroidectomy. Compared with conventional approach, it provides a better cosmetic result. PMID:34119426 | DOI:10.1016/j.bjorl.2021.03.010 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.