Comparing Total Thyroidectomy Methods: Emphasizing EOA’s Superiority in Surgical Integrity and Patient Comfort

In treating differentiated thyroid cancer, various surgical methods were compared for integrity, safety, efficacy, and patient experience. The study, including 7042 patients, found that the endoscopic transoral approach (EOA) excelled in maintaining surgical integrity and minimizing pain. Robotic bilateral axillo-breast approach (RBABA) protected parathyroid glands and the recurrent laryngeal nerve but had the longest operative time. Open thyroidectomy (OT) performed quickest. EOA and OT are ideal for central lymph node metastasis risk, while RBABA may suit those prioritizing nerve protection.