Multiple thyroid glands, the largest of which is 3 cm. Which is better than traditional ablation endoscopic surgery?

The so-called traditional thyroid surgery is to cut a mouth on the patient's neck for surgery, either long or short, usually more than 3cm. The advantages of traditional surgery are direct path, small free range of skin flap, good exposure of operation field and no dead angle, even if there are many metastatic lymph nodes in the neck, it can be cleaned up. Therefore, traditional surgery is suitable for the resection of various thyroid tumors and the dissection of metastatic lymph nodes, and it is still the most important and widely used surgical method. Its disadvantage is that it will leave a scar on the patient's neck after operation, which is undoubtedly a great blow to young women who love beauty. It is precisely for this reason that thyroid surgeons all over the world have been trying to invent various minimally invasive operations in the past decade. The main goal is not to leave scars on the neck, which is also the biggest advantage of minimally invasive surgery. Minimally invasive surgery is mainly divided into endoscopic surgery and ablation. The former is divided into oral cavity and areola. Three small incisions were made in the oral cavity or bilateral areola, the largest one was 1cm, and the other two were smaller, each with a length of 0.5cm. With the help of endoscope, it is necessary to establish a cavity to extend the instrument to the thyroid region for surgery, so the trauma is greater than that of traditional surgery, but it is minimally invasive for the patient's heart because the incision is small and hidden, regardless of the oral cavity and breast. Because there is a blind spot in endoscopic surgery, patients with more lymph node metastasis, especially those in the mediastinum direction, will have residual concerns. Therefore, endoscopic surgery in our department is mainly used for patients with high cosmetic requirements, benign tumors or early thyroid cancer. Ablation surgery includes radiofrequency ablation, microwave ablation and laser ablation, all of which coagulate tumor tissue through a hot platform under the guidance of ultrasound. Its advantages are less trauma, quick recovery, no scar and no need to take thyroid drugs. This is a real minimally invasive surgery. However, ablation only coagulates tumors, and can't remove metastatic lymph nodes, so it is still limited to the application of benign tumors. In recent years, more than 0/00 cases of thyroid benign tumor were treated by radiofrequency ablation in our hospital, and the effect was good, which was favored by patients.