Abstract
Background: Endoscopic thyroidectomy became the most common method which prevalent in the treatment of patients with thyroid. Objective: This study aimed to conduct a comparative study between endoscopic thyroidectomy and the traditional method. Patients and methods: We conducted a comparative study of injured patients who underwent thyroid surgery, which included 50 patients whose ages ranged between 30 – 60 years, which was performed in different hospitals in Iraq for a period that lasted from January 5, 2022, to August 13, 2023. The data of the study patients was divided into two groups, where the first group represents patients who underwent endoscopic thyroidectomy, which included 25 patients, and the second group includes patients who underwent thyroidectomy using the traditional open surgery, which included 25 patients. Results: According to endoscopic thyroidectomy, surgical outcomes of our study found Operative time was 107.73 ± 22.15 min, blood loss was 18.68 ± 8.76 ml, blood transfusion included 2 cases, hospital stay time was 8.85 ± 1.36 days, admission to the intensive care unit was 1 case, mortality rate was 0 cases, amount of postoperative drainage was 100.54 ± 25.67, complications were 3 cases. According to the findings of the questionnaire on general quality of life, more success where Physical health was 92.13 ± 0.02, Psychological functioning was 89.92 ± 4.33, energy/fatigue was 94.44 ± 3.21, and general health was 90.10 ± 2.81. In contrast, surgical outcomes of traditional open surgery found Operative time was 45.52 ± 9.80 min, blood loss was 21.45 ± 10.58 ml, blood transfusion included 6 cases, hospital stay time was 7.57 ± 1.02 days, admission to the intensive care unit was 4 cases, mortality rate was 2 cases, and complications were 10 cases. According to questionnaire findings of general quality of life, the most successful were physical health (75.41 ± 5.82), psychological functioning (77.41 ± 6.23), energy/fatigue (79.24 ± 4.13), and general health (85.34 ± 4.14). Conclusion: This study showed that laparoscopic thyroidectomy is the optimal, safest and most effective surgical procedure in achieving clinical results and long-term improvements compared to traditional open surgery
Keywords
Thyroid gland; Endoscopic thyroidectomy; Traditional open surgery; Histology; Postoperative complication, and Thyroid nodule