How to choose a surgical procedure for patients with thyroid disease

  Instead of making an incision in the neck, lumpectomy thyroid surgery is simply performed through an incision in the chest with the help of lumpectomy equipment and techniques. Since there is no incision in the neck, the postoperative aesthetic result is good and it relieves the patient’s fear and anxiety about thyroid surgery. After more than 10 years of development and improvement, lumpectomy thyroid surgery has the characteristics of less surgical bleeding and delicate operation without any surgical scars on the neck.  But how should patients with lumpectomy and open surgery choose?  First of all, not all patients are suitable for lumpectomy. If: solid thyroid tumor with tumor diameter less than 5cm; cystic thyroid nodules; parathyroid hyperplasia and adenoma; hyperthyroidism below II degree enlargement; early and mid-stage thyroid cancer. At this point you can choose either lumpectomy or open surgery.  Secondly, traditional thyroidectomy will leave a surgical scar about 8-10cm long in the neck, and the scar in the exposed area will cause strong psychological pressure to the patient. If you are particularly concerned about the neck scar and are not psychologically prepared for the scar in the exposed area of the neck, it is recommended that you can choose lumpectomy.  Many patients are always concerned about the safety of lumpectomy. In fact, lumpectomy is a procedure performed by a physician skilled in traditional surgery and after long-term lumpectomy training. The whole procedure is done with the help of a lumpectomy probe that is 5 times magnified than the naked eye. It is like putting the eye inside the neck incision and all anatomical tissues are revealed more clearly than in traditional surgery, so there is less intraoperative bleeding, less damage to the parathyroid glands and less damage to the recurrent laryngeal nerve, which better reflects the concept of minimally invasive surgery. Therefore, in many comparative studies, it is generally found that the amount of bleeding and complication rate are lower than those of traditional open surgery.  Are patients with thyroid cancer suitable for lumpectomy? Papillary thyroid cancer, with biological behavior more inclined to benign manifestation, is still suitable for lumpectomy if there is no lymph node metastasis and no invasion of the envelope. Also lumpectomy can achieve the purpose of thyroid lobectomy and lymph node dissection.  Finally, if your case is not suitable for full lumpectomy thyroid surgery as described above, don’t be frustrated. Because there are also lumpectomy-assisted thyroid surgeries that you can try. Simply put, a 2-3cm incision is made in the neck and the lumpectomy device enters through the incision to perform the surgery and remove the tumor. Although there will be a scar in the neck, the 2-3cm scar still has advantages over traditional surgery.  It is believed that just like laparoscopic cholecystectomy instead of traditional open cholecystectomy, laparoscopic thyroidectomy will be accepted by more and more physicians and patients as the surgical approach becomes more popular.