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A prospective study comparing the gasless endoscopic thyroidectomy trans-axillary approach to conventional open thyroidectomy: health and quality of life outcomes.
- Source :
- Surgical Endoscopy & Other Interventional Techniques; Apr2024, Vol. 38 Issue 4, p1995-2009, 15p
- Publication Year :
- 2024
-
Abstract
- Background: The relationship between different surgical treatments and quality of life remains uncertain for differentiated thyroid carcinoma (DTC). The aim of this study is to compare the gasless endoscopic thyroidectomy trans-axillary approach (ET) and traditional open thyroidectomy (OT) through a prospective cohort study focusing on the rate of the efficacy, and quality of life (QoL). Methods: This prospective observational longitudinal cohort study enrolled 134 female patients diagnosed with DTC from December 01/2021 to December 31/2022. Multiple scales were applicated to evaluate the differences in quality of life, effectiveness, safety, etc. between the two groups during preoperative and postoperative follow-up periods, including the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30, version 3.0 (QOL-C30), Symptom Checklist (SCL-90), Scar Cosmesis Assessment and Rating (SCAR-Q), voice impairment score (VIS), swallowing impairment score (SIS), and neck impairment score (NIS). Results: Among them, 68 accepted ET and 66 patients underwent OT. To enhance comparability between the two groups, the patients enrolled in this study are female. Compared with the OT group, the ET group performed significantly better postoperative physical quality of life, including sound (p = 0.036), swallowing (p < 0.001), and neck function (p = 0.010). The ET group was also associated with significantly better cosmetic satisfaction (p < 0.001), and relatively faster recovery in psychological and emotional situation. Conclusions: Gasless endoscopic thyroidectomy through an axillary approach leads to good cosmetic and psychological effects, improves postoperative QoL, and could be recommended for rapid postoperative recovery and involvement in daily and social activities. [ABSTRACT FROM AUTHOR]
- Subjects :
- NECK physiology
POSTOPERATIVE care
THYROID gland tumors
RESEARCH funding
PATIENT safety
T-test (Statistics)
AESTHETICS
SCIENTIFIC observation
QUESTIONNAIRES
FISHER exact test
ENDOSCOPIC surgery
TREATMENT effectiveness
PREOPERATIVE care
DESCRIPTIVE statistics
CHI-squared test
MANN Whitney U Test
LONGITUDINAL method
QUALITY of life
CONVALESCENCE
COMPARATIVE studies
DEGLUTITION
DATA analysis software
THYROIDECTOMY
ENDOSCOPY
Subjects
Details
- Language :
- English
- ISSN :
- 18666817
- Volume :
- 38
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Surgical Endoscopy & Other Interventional Techniques
- Publication Type :
- Academic Journal
- Accession number :
- 176339456
- Full Text :
- https://doi.org/10.1007/s00464-024-10689-y