Objective To investigate the impact of endoscopic thyroidectomy by gasless trans-subclavian approach （ETGTA） on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma （PTC）. Methods A total of 80 PTC patients diagnosed and treated from January 2022 to December 2024 were selected. Among them,48 patients who underwent traditional open surgery combined with central lymph node dissection were included in the control group, and 32 patients who underwent ETGTA combined with central lymph node dissection were included in the study group. Surgical indicators, cosmetic satisfaction, and complications were observed in both groups. Results Compared with the control group,patients in the study group had longer operative time, greater postoperative drainage volumes, higher cosmetic satisfaction, and a lower incidence of neck discomfort （P<0.05）. No statistically significant differences were observed between the two groups in the incidence of recurrent laryngeal nerve injury and hypoparathyroidism （P>0.05）. Conclusion For PTC patients,ETGTA demonstrates significant efficacy, high safety, and excellent cosmetic outcomes.
LIN Chaoyang
,
WANG Gang
,
ZHANG Nianqing
. Impact of endoscopic thyroidectomy by gasless trans-subclavian approach on cosmetic satisfaction and complications in patients with papillary thyroid carcinoma[J]. Surgical Research and New Technique, 2025
, 14(3)
: 257
-261
.
DOI: 10.3969/j.issn.2095-378X.2025.03.013
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