Total Endoscopic Versus Conventional Open Thyroidectomy for XXXX .

@entity1 @entity3747 @entity353 @entity7172 @entity3746
BACKGROUND: The objective of this study was to conduct a meta-analysis to assess the safety and efficacy of total endoscopic thyroidectomy (TET) versus conventional open thyroidectomy (COT) for @entity7172 with regard to short-term clinical outcomes. METHODS: MEDLINE, EMBASE, Science Citation Index Expanded, and the Cochrane Central Register of Controlled Trials in the Cochrane Library between January 1996 and July 2014 were searched to identify relevant comparative studies. Pooled @entity353 ( @entity353 ) or odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using either fixed or random-effects models. The perioperative outcomes were evaluated. RESULTS: Five eligible nonrandomized studies were included, involving 1004 @entity1 : 475 were TET and 529 were COT. Meta-analysis results revealed that TET group had a significantly longer operative time ( @entity353 , 48.15; 95% CI, 27.54-68.75; P < 0.00001), compared with the COT group. While analyzing the number of removed lymph nodes, 4 studies were included. The TET group had a less number of removed lymph nodes ( @entity353 , -0.68; 95% CI, -1.20 to -0.15; P = 0.01). There were no significant differences in terms of hospital stay, transient recurrent @entity3746 , permanent recurrent @entity3746 , transient @entity3747 , and permanent @entity3747 . CONCLUSIONS: Total endoscopic thyroidectomy appears to be a much feasible safe surgical procedure for @entity7172 in selected @entity1 .
