TY - JOUR AU - Wisanuyothin, Taweechai PY - 2015/03/30 Y2 - 2024/03/28 TI - Comparison of Endoscopic (Breast-axillary Approach) Versus Conventional Open Thyroid Lobectomy JF - The Thai Journal of Surgery JA - Thai J Surg VL - 36 IS - 1 SE - Original Articles DO - UR - https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226244 SP - AB - <div><strong>Objective:</strong> To compare the outcomes and complications of endoscopic versus conventional open thyroid<br>lobectomy</div><div><br><strong>Patients and Methods:</strong> A retrospective, group-matched control study was performed in 148 patients who<br>underwent thyroid lobectomy at the institute by one surgeon (the author) between October 2008 and September 2014.</div><div><br><strong>Results:</strong> Endoscopic thyroidectomy (ET) was done successfully in 71 patients with a median age of 40 years and<br>median tumor size of 3 cm. Conventional open thyroidectomy (OT) was done in 77 patients with a median age of 42<br>years and median tumor size of 4 cm. There were no significant differences in sex, age, side of tumor between the two<br>groups. Median operative time was significantly longer in the ET group at 120 min (range 50 to 180) vs. the OT group<br>at 75 min (range 50 to 130), p &lt; 0.05. Median postoperative pain score, rated from 1 to 10, was significantly less in the<br>ET group at both 24 hours and 48 hours, and blood loss was significantly less in the ET group (both p-values &lt; 0.05).<br>Median postoperative hospital stay in ET group was shorter than that in the OT group: 3 days (range 2 to 5) vs. 4 days<br>(range 2 to 6) respectively (p &lt; 0.05). There was no significant difference in the complication rates, but the cosmetic<br>satisfaction was significantly superior in the ET group.</div><div><br><strong>Conclusion:</strong> ET (breast-axillary approach) is safe and superior to OT in terms of postoperative pain, blood loss,<br>hospital stay, and cosmesis for patients undergoing thyroid lobectomy.</div> ER -