An evaluation of the outcomes for 768 patients treated for thyroid tumors via conventional open thyroidectomy and video-assisted neck surgery at our hospital over a ten-year period

Abstract

The objective of this study was to evaluate the outcomes of thyroid tumor treatments conducted at our hospital. From April 2014 to March 2024, our department conducted 768 thyroidectomies: 502 benign and 266 malignant. Since introducing video-assisted neck surgery （VANS） in August 2021, we have performed 88 thyroidectomies using this method to March 2024. Hemithyroidectomy for benign tumors averages 101 minutes using the conventional open method and 150 minutes with the VANS method. The rate of postoperative bleeding was 2.4％ for conventional open thyroidectomy and 1.1％ for the VANS method. Postoperative transient recurrent laryngeal nerve paralysis was observed in approximately 4.8％ of cases following conventional open thyroidectomy and 6.5％ of cases using the VANS method. Permanent recurrent laryngeal nerve paralysis occurred in 2.2％ of cases with conventional open thyroidectomy and 1.1％ of cases with the VANS method. The VANS method took longer compared to conventional open thyroidectomy, but it had similar complication rates and demonstrated safety. For malignant tumors, the rates of complications and recurrence were consistent with previous studies. These results confirm the safety and efficacy of thyroid tumor treatment at our hospital.