Table_1_Ambulatory Endoscopic Thyroidectomy via a Chest-Breast Approach Has an Acceptable Safety Profile for Thyroid Nodule.docx

IntroductionWith the growing esthetic requirements, endoscopic thyroidectomy develops rapidly and is widely accepted by practitioners and patients to avoid the neck scar caused by open thyroidectomy. Although ambulatory open thyroidectomy is adopted by multiple medical centers, the safety and potential of ambulatory endoscopic thyroidectomy via a chest-breast approach (ETCBA) is poorly investigated.Material and MethodsPatients with thyroid nodules who received conventional or ambulatory ETCBA at Xiangya hospital, Central South University from January 2017 to June 2020 were retrospectively included. The incidence of postoperative complications, 30-days readmission rate, financial cost, duration of hospitalization, mental health were mainly investigated.ResultsA total of 260 patients were included with 206 (79.2%) suffering from thyroid carcinoma, while 159 of 260 received ambulatory ETCBA. There was no statistically significant difference in the incidence of postoperative complications (P=0.249) or 30-days readmission rate (P=1.000). In addition, The mean economic cost of the ambulatory group had a 29.5% reduction compared with the conventional group (P

随着审美需求的日益增长，内镜甲状腺切除术迅速发展，并得到了医者和患者广泛接受，以避免开放式甲状腺切除术造成的颈部疤痕。尽管多家医疗中心已采用门诊开放式甲状腺切除术，但通过胸部-乳房入路进行的门诊内镜甲状腺切除术（ETCBA）的安全性和潜力研究尚显不足。材料与方法：回顾性纳入了2017年1月至2020年6月在中南大学湘雅医院接受传统或门诊ETCBA的甲状腺结节患者。主要调查了术后并发症发生率、30天再入院率、经济成本、住院时长以及心理健康状况。结果：共纳入260例患者，其中206例（79.2%）患有甲状腺癌，260例中有159例接受了门诊ETCBA。术后并发症发生率（P=0.249）和30天再入院率（P=1.000）之间无统计学上的显著差异。此外，门诊组的平均经济成本与常规组相比降低了29.5%（P