Lumpectomy thyroid surgery vs conventional surgery: what to choose?

0?2 Thyroid disorders are common in women, and some patients require surgery. Traditional surgery leaves a surgical scar on the neck, which affects the patient's aesthetics and psychological condition after treatment. Therefore, scholars at home and abroad have been trying to use more hidden incisions (e.g., chest, areola, axilla, etc.) since 1997, and the surgery can be done with the assistance of laparoscopy by tunneling under the skin to the surgical field. The surgery has no scar on the neck and has a better cosmetic effect. However, traditional surgery is still the choice of many patients due to its wide range of indications and long history. So what choices should be made when unfortunate thyroid disease requires surgery? First of all, laparoscopic surgery is not advisable for thyroid cancer. Surgery for malignant tumors often requires a radical cure before considering function and appearance, which means that the patient should have a good prognosis and then improve his quality of life as much as possible. Therefore, surgery for thyroid cancer usually involves removal of most or all of the thyroid gland, as well as removal of metastatic lymph nodes. Lumpectomy thyroid surgery is difficult to remove the tumor completely because it does not reveal the surgical area as well as traditional surgery. Second, benign thyroid tumors are too large for laparoscopic surgery. There is no natural cavity in the neck. Lumpectomy operation firstly needs to establish a surgical space by pulling or injecting gas into the neck, but the space established in this way is limited. When the tumor is too big, more than 4CM, the established surgical space is difficult to expose the whole tumor, and the operation will appear a blind zone, which will affect the surgical effect. Thirdly, bilateral goiter is not suitable for laparoscopic surgery. Surgical incision often can only choose one side of the chest skin, when through one side of the incision to do the opposite side of the thyroid tumor is more difficult, then you need to do in the opposite side of the chest and then make all the incisions, so that both sides of the chest have incisions, the patient is often not very willing to and does not meet the minimally invasive. Fourth, hyperthyroidism patients should not do laparoscopic surgery. Patients with hyperthyroidism often have diffuse enlargement of the thyroid gland and hyperfunction. Surgery requires the removal of most of the thyroid gland, retaining a small portion of the body needs can be. The procedure is more likely to bleed, and poor visualization of the surgical area can make hemostasis difficult. Finally, some patients with retrosternal goiter and those who have had surgery in the front of the neck should not have laparoscopic surgery. The retrosternal thyroid gland is not suitable for laparoscopic thyroid surgery due to its special location and the importance of its neighborhood. If there is a surgical incision in the front of the neck, it is sufficient to cut in the original incision. Of course, whether it is suitable to do laparoscopic thyroid surgery to get good cosmetic effect, finally, your attending doctor has to decide, when the tumor is not big, the patients who have high cosmetic requirements may choose the laparoscopic surgery, which will make you get unexpected cosmetic effect and enhance your confidence in your work. However, patients who are not suitable for laparoscopic surgery do not have to be too sorry. Due to the improvement of surgical techniques and suturing technology, the neck incision of non-scarred patients can also heal well without much trouble.