To compare the efficacy of endoscopic thyroidectomy by gasless trans-subclavian approach versus the linea alba cervicalis approach in unilateral radical thyroidectomy

Objective To compare the efficacy of endoscopic thyroidectomy by gasless trans-subclavian approach versus the linea alba cervicalis approach in unilateral radical thyroidectomy . Methods The clinical data of 190 patients who underwent unilateral radical thyroidectomy in our department from May 2024 to December 2024 were collected, 110 of whom underwent the linea alba cervicalis approach (LACA). Meanwhile, 80 patients underwent endoscopic thyroidectomy by gasless trans-subclavian approach (ETGTA). The operation status, postoperative complications, neck function and aesthetic satisfaction, preoperative and postoperative quality of life of the two groups were compared. Results All the operations were successfully completed. There was no significant difference in operation time, blood loss and length of hospital stay between the two groups. The incidence of complications in ETGTA group was lower, the cosmetic effect was higher than that in LACA group, the incidence of postoperative neck sensory disturbance and swallowing discomfort was lower than that in LACA group, and the postoperative quality of life score was higher than that in LACA group, with statistical significance (P < 0.05). Conclusion ETGTA has good cosmetic effect for unilateral radical thyroidectomy, which can better protect the neck function completely, and the patients have higher postoperative life quality and lower complication rate, which is worthy of clinical promotion.