dc.contributor.author | Reunmarkkaew, Donyarat | |
dc.contributor.author | Sittitrai, Pichit | |
dc.date.accessioned | 2018-06-27T09:46:57Z | |
dc.date.available | 2018-06-27T09:46:57Z | |
dc.date.issued | 2018-01 | |
dc.identifier.citation | Surgical Science, 2018, 9, 8-16 | en_US |
dc.identifier.issn | 2157-9415 | |
dc.identifier.uri | https://doi.org/10.4236/ss.2018.91002 | |
dc.identifier.uri | http://hdl.handle.net/123456789/1653 | |
dc.description.abstract | Introduction: The aim of the study was to compare the feasibility and safety
of endoscopic thyroid lobectomy via axillary-breast-shoulder approach (ET
via ABS) with a conventional open thyroid lobectomy (OT). Methods: From
November 2014 to December 2015, 20 patients with unilateral benign thyroid
nodules were treated with ET via ABS and another 20 patients were treated
with an OT. We analyzed the clinical characteristics postoperative complications,
pain, and patient satisfaction. Results: No statistically significant differences
occurred between groups except the mean ages of the OT group and
the ET via ABS group were 55 and 44 years, respectively (p = 0.015). The
mean operative time was almost the same in both groups (116 min in the OT
group and 114 min in the ET via ABS group). Blood loss was significantly
higher in the OT group than in the ET via ABS group (p = 0.042) but postoperative
drainage was detected more in the ET via ABS group (p < 0.001).
Early postoperative pain was significantly less in the ET via ABS group (p =
0.026). The hospital stay was three days in OT group and four days in ET via
ABS group (p = 0.909). Postoperative complications such as hematoma,
hoarseness, dysphagia, and prolonged subcutaneous emphysema were detected
only in the ET via ABS group but without statistical difference. More
patients were “very satisfied” with the treatment in the ET via ABS group than
in the OT group. Conclusion: The ET via ABS is as safe and effective as the
OT for patients with unilateral thyroid nodules. With less early postoperative
pain and higher patient satisfaction, this endoscopic thyroidectomy approach
should be considered in patients who concern about cosmetic results. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Scientific Research | en_US |
dc.subject | Endoscopic Thyroidectomy | en_US |
dc.subject | Axillary-Breast-Shoulder Approach | en_US |
dc.subject | Unilateral Thyroid Nodule | en_US |
dc.title | Endoscopic Thyroid Lobectomy via Axillary-Breast-Shoulder Approach versus Open Thyroid Lobectomy | en_US |
dc.type | Article | en_US |