关键词: 甲状腺切除术, 经口腔前庭入路, 自然通道腔镜手术

Abstract: Objective To compare the clinical efficacy between endoscopic thyroidectomy via vestibular approach and open thyroidectomy. Methods The clinical data of 68 cases of thyroidectomy from March 2016 to June 2017 were retrospectively analyzed in the First People′s Hospital of Xianyang. The patients were assigned to transoral thyroidectomy group（observation group，32 cases）and open thyroidectomy group （Control group，36 cases）. The operative time，intraoperative blood loss，postoperative drainage，hospital stay，parathyroid hormone level and aesthetic satisfaction were compared between the two groups. Results There was no significant difference between the two groups in the amount of blood loss，length of hospital stay，postoperative drainage，and parathyroid hormone levels. The operative time was and the aesthetic satisfaction were statistical significance（P=0.035，P=0.015，respectively）. Conclusion Endoscopic thyroidectomy via transoral approach is safe and reliable，which does not increase the surgical risk. It is more in line with the cosmetic requirements of young woman and has a quick recovery after operation.

Key words: natural orifice translumenal endoscopic surgery, transoral endoscopic thyroidectomy, thyroidectomy