ObjectiveTo investigate the clinical value of single-port endoscopy-assisted thyroid surgery via anterior cervical approach. MethodsThe clinical data of 21 patients with thyroid nodule who underwent single-port endoscopy-assisted thyroid surgery via anterior cervical approach were analyzed. The basic conditions of operation, postoperative complications, postoperative incision pain and cosmetic satisfaction of incision 2 months after operation were observed in all patients. ResultsThe operations of 21 cases successfully completed. The operation time was (99.1±16.3) min, the intraoperative blood loss was (24.5±18.4) mL, the postoperative drainage was (38.7±14.4) mL, and the postoperative hospital stays were (3.9±0.9) d. Unilateral benign nodules interpreted in 3 cases, who underwent unilateral thyroid lobectomy, while 18 cases with unilateral papillary thyroid carcinoma underwent unilateral thyroid lobectomy combined with isthmectomy plus ipsilateral central lymph node dissection. The number of lymph nodes dissection in the central region of the 18 patients with papillary thyroid carcinoma was (5.0±2.2). All patients had no postoperative complications, and the postoperative incision pain was mild. After a 2-month follow-up, the patients were satisfied with the cosmetic effect of incision. ConclusionSingle-port endoscopy-assisted thyroid surgery via anterior cervical approach is safe and feasible. It is a novel surgical method of minimally invasive with relatively cosmetic effect and deserves a further research.

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