Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysis
Summary: Endoscopic thyroidectomy (ET), a surgical procedure widely accepted by surgeons, has been proven to be feasible. The aim of this systematic review is to evaluate the effectiveness and safety of ET compared to conventional open thyroidectomy (COT) in the treatment of papillary thyroid microc...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958423020018 |
| _version_ | 1797267865553862656 |
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| author | Xueliang Wang Xia Wang Junwen Bai |
| author_facet | Xueliang Wang Xia Wang Junwen Bai |
| author_sort | Xueliang Wang |
| collection | DOAJ |
| description | Summary: Endoscopic thyroidectomy (ET), a surgical procedure widely accepted by surgeons, has been proven to be feasible. The aim of this systematic review is to evaluate the effectiveness and safety of ET compared to conventional open thyroidectomy (COT) in the treatment of papillary thyroid microcarcinoma (PTMC) through a meta-analysis. Medical literature databases, including PubMed, Embase, Cochrane Library, CBM,CNKI, Wanfang, and VIP, were systematically searched for relevant studies on ET and COT for the treatment of PTMC. The search period was from January 2000 to June 2023. Two researchers independently performed literature screening and data extraction according to the inclusion and exclusion criteria, and the Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. Meta-analysis was conducted using Revman 5.3 software. Six studies were eventually included, involving a total of 440 patients with PTMC. The meta-analysis results demonstrated that the ET group had shorter incision length (MD = −2.96, 95 % CI: −4.27 to −1.65, P < 0.05) and less intraoperative blood loss (MD = −18.06, 95 % CI: −32.76 to −3.37, P = 0.02 < 0.05). There was no statistically significant difference between the two groups in terms of operative time (MD = −0.83, 95 % CI: −19.64 to 17.98, P = 0.93 > 0.05), lymph node dissection (MD = 1.03, 95 % CI: −1.47 to 3.54, P = 0.42 > 0.05), postoperative hospital stay (MD = −0.96, 95 % CI: −2.00 to 0.08, P = 0.07 > 0.05), and transient recurrent laryngeal nerve paralysis (OR = 3.32, 95 % CI: 0.65 to 16.90, P = 0.15 > 0.05). Compared with COT, ET has the advantages of shorter incision length, less intraoperative blood loss, better prognosis and comparable safety, making it a worthy choice for clinical application. |
| first_indexed | 2024-04-25T01:23:23Z |
| format | Article |
| id | doaj.art-29f075d73f5e45cbb67bfd78c6f18c3e |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-04-25T01:23:23Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-29f075d73f5e45cbb67bfd78c6f18c3e2024-03-09T09:24:32ZengElsevierAsian Journal of Surgery1015-95842024-03-0147313441350Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysisXueliang Wang0Xia Wang1Junwen Bai2Inner Mongolia Medical University, Department of Thyroid and Breast Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, North Street, Inner Mongolia, 010050, ChinaCorresponding author.; Inner Mongolia Medical University, Department of Thyroid and Breast Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, North Street, Inner Mongolia, 010050, ChinaInner Mongolia Medical University, Department of Thyroid and Breast Surgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, North Street, Inner Mongolia, 010050, ChinaSummary: Endoscopic thyroidectomy (ET), a surgical procedure widely accepted by surgeons, has been proven to be feasible. The aim of this systematic review is to evaluate the effectiveness and safety of ET compared to conventional open thyroidectomy (COT) in the treatment of papillary thyroid microcarcinoma (PTMC) through a meta-analysis. Medical literature databases, including PubMed, Embase, Cochrane Library, CBM,CNKI, Wanfang, and VIP, were systematically searched for relevant studies on ET and COT for the treatment of PTMC. The search period was from January 2000 to June 2023. Two researchers independently performed literature screening and data extraction according to the inclusion and exclusion criteria, and the Newcastle–Ottawa Scale (NOS) was used to assess the quality of the included studies. Meta-analysis was conducted using Revman 5.3 software. Six studies were eventually included, involving a total of 440 patients with PTMC. The meta-analysis results demonstrated that the ET group had shorter incision length (MD = −2.96, 95 % CI: −4.27 to −1.65, P < 0.05) and less intraoperative blood loss (MD = −18.06, 95 % CI: −32.76 to −3.37, P = 0.02 < 0.05). There was no statistically significant difference between the two groups in terms of operative time (MD = −0.83, 95 % CI: −19.64 to 17.98, P = 0.93 > 0.05), lymph node dissection (MD = 1.03, 95 % CI: −1.47 to 3.54, P = 0.42 > 0.05), postoperative hospital stay (MD = −0.96, 95 % CI: −2.00 to 0.08, P = 0.07 > 0.05), and transient recurrent laryngeal nerve paralysis (OR = 3.32, 95 % CI: 0.65 to 16.90, P = 0.15 > 0.05). Compared with COT, ET has the advantages of shorter incision length, less intraoperative blood loss, better prognosis and comparable safety, making it a worthy choice for clinical application.http://www.sciencedirect.com/science/article/pii/S1015958423020018Endoscopic thyroidectomyConventional thyroidectomyEffectivenessSafetyMeta-analysis |
| spellingShingle | Xueliang Wang Xia Wang Junwen Bai Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysis Asian Journal of Surgery Endoscopic thyroidectomy Conventional thyroidectomy Effectiveness Safety Meta-analysis |
| title | Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysis |
| title_full | Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysis |
| title_fullStr | Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysis |
| title_full_unstemmed | Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysis |
| title_short | Comparison of the effectiveness and safety between endoscope-assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma: A meta-analysis |
| title_sort | comparison of the effectiveness and safety between endoscope assisted and traditional open surgery in the treatment of thyroid micropapillary carcinoma a meta analysis |
| topic | Endoscopic thyroidectomy Conventional thyroidectomy Effectiveness Safety Meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S1015958423020018 |
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