Comparison of Endoscopic (Breast-axillary Approach) Versus Conventional Open Thyroid Lobectomy

Authors

  • Taweechai Wisanuyothin Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand

Keywords:

Endoscopic thyroidectomy, Open thyroidectomy, Outcomes

Abstract

Objective: To compare the outcomes and complications of endoscopic versus conventional open thyroid
lobectomy
Patients and Methods: A retrospective, group-matched control study was performed in 148 patients who
underwent thyroid lobectomy at the institute by one surgeon (the author) between October 2008 and September 2014.
Results: Endoscopic thyroidectomy (ET) was done successfully in 71 patients with a median age of 40 years and
median tumor size of 3 cm. Conventional open thyroidectomy (OT) was done in 77 patients with a median age of 42
years and median tumor size of 4 cm. There were no significant differences in sex, age, side of tumor between the two
groups. Median operative time was significantly longer in the ET group at 120 min (range 50 to 180) vs. the OT group
at 75 min (range 50 to 130), p < 0.05. Median postoperative pain score, rated from 1 to 10, was significantly less in the
ET group at both 24 hours and 48 hours, and blood loss was significantly less in the ET group (both p-values < 0.05).
Median postoperative hospital stay in ET group was shorter than that in the OT group: 3 days (range 2 to 5) vs. 4 days
(range 2 to 6) respectively (p < 0.05). There was no significant difference in the complication rates, but the cosmetic
satisfaction was significantly superior in the ET group.
Conclusion: ET (breast-axillary approach) is safe and superior to OT in terms of postoperative pain, blood loss,
hospital stay, and cosmesis for patients undergoing thyroid lobectomy.

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Published

2015-03-30

How to Cite

1.
Wisanuyothin T. Comparison of Endoscopic (Breast-axillary Approach) Versus Conventional Open Thyroid Lobectomy. Thai J Surg [Internet]. 2015 Mar. 30 [cited 2024 Mar. 28];36(1). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226244

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