Comparison of the Quality of Life for Thyroid Cancer Survivors Who Had Open Versus Robotic Thyroidectomy

Kim, Wan Wook; Jung, Jin Hyang; Lee, Jeeyeon; Kang, Jin Gu; Baek, Jino; Lee, Won Kee; Park, Ho Yong

doi:10.1089/lap.2015.0546

Cited by 30 publications

(30 citation statements)

References 20 publications

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“…Regarding volume of blood loss, it was similar between the groups. However, the endoscopic procedure took significantly longer, as noted in previous studies [4,18]. The longer operative time may increase the risk of complications and morbidity due to longer exposure time to general anesthesia.…”

Section: Discussionmentioning

confidence: 81%

Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery

Kasemsiri

Trakulkajornsak

Bamroong³

et al. 2020

BMC Surg

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Background: Trans-oral endoscopic thyroidectomy allows obviating scar of the neck that expects to gain quality of life (QOL). However, the benefit of the QOL from this technique has not been adequately investigated, therefore, this study compared the QOL outcomes, including cosmetic outcomes, between thyroidectomy by trans-oral endoscopy and conventional open surgery. Methods: A study was conducted from January 30, 2017 to November 10, 2018. Thirty-two and 38 patients underwent trans-oral endoscopic thyroid surgery and conventional open surgery, respectively. Their quality of life was evaluated at 2, 6, and 12 weeks postoperatively using a thyroid surgery-specific questionnaire and a 36-item short-form questionnaire. Results: Trans-oral endoscopic group, patients were younger and presented with smaller thyroid nodules (p < 0.05). Regarding surgical outcomes, there were no statistically significant differences between the two groups. Mean operative time was significantly longer in the trans-oral endoscopic group (p < 0.05). The quality of life parameters in the trans-oral endoscopic group was significantly better than in the conventional surgery group (p < 0.05). These parameters included reduction of physical activity, psychosocial impairment, the role of physic, and emotion at 2 weeks after surgery; swallowing impairment, psychosocial impairment, the role of physic, social function and mental health 6 weeks after surgery; tingling and feeling of vitality at 12 weeks after surgery. Cosmetic outcomes and overall satisfaction were significantly better in the trans-oral endoscopic group than in the conventional surgery group at all of our follow up times (p < 0.05). Conclusions: The trans-oral endoscopic approach allows real scarless on the skin with better cosmetic and QOL outcomes. Trial registration: This trial was retrospectively registered at the ClinicalTrial.gov (NCT03048539), registered on

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Section: Discussionmentioning

confidence: 81%

Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery

Kasemsiri

Trakulkajornsak

Bamroong³

et al. 2020

BMC Surg

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“…There is no significant difference in the long-term voice outcomes, assessed by VHI and GRBAS scale [11,12]. The quality of life is similar, with a logically better aesthetics satisfaction provided by the RT [13]. The swallowing impairment seems significantly lower after RT [11], probably due to the preservation of the superficial sliding planes, not dissected and therefore free of adhesion.…”

Section: Discussionmentioning

confidence: 84%

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Chabrillac¹,

Zerdoud²,

Graff-Cailleaud³

et al. 2017

Thyroid Disorders Ther

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Background: The Robotic Thyroidectomy (RT) is a minimally invasive surgical technique initially developed in Asia, for cultural reasons. The principles of its use are still undergoing development. Showing to all appearances satisfying outcomes, the long-time safety and medico-economic benefit of the procedure have not been established yet. The use of this technique in thyroid carcinology remains rare, and provides specific risks, not encountered with the Open Thyroidectomy (OT).

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“…The surgical techniques may also influence swallowing. Authors who have compared conventional open thyroidectomy to robotic techniques, minimally invasive thyroid surgery, and subfascial approach to the thyroid reported a statistically significant increase of swallowing impairments in the conventional group ( 10 , 11 , 16 , 33 , 37 , 38 , 52 , 53 ). Additionally, laryngopharyngeal reflux (LPR) could influence postsurgical swallowing complaints ( 6 , 13 , 25 , 54 , 55 ).…”

Section: Resultsmentioning

confidence: 99%

Thyroidectomy-related Swallowing Difficulties: Review of the Literature

Đanić-Hadžibegović

Hergešić

Babić

et al. 2020

ACC

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SUMMARY This study aims to provide insight into the etiology and frequency of swallowing complications that arise after thyroidectomy and to outline the available diagnostic procedures by revising the existing literature on this topic. We conducted a bibliographic search using the electronic database MEDLINE/PubMed to identify all relevant articles and 44 studies were included in the review out of a total of 218 published articles. Dysphagia after thyroid surgery is a common postoperative complication which, in the short- or long-term, significantly affects patient life quality. There is no standard diagnostic protocol for thyroidectomy-related swallowing impairment. Among the reviewed studies, 8 questionnaires and 12 instrumental diagnostic tools were used to identify swallowing difficulties related to thyroid surgery. The Swallowing Impairment Index (SIS-6) was the most-used questionnaire. Fiberoptic endoscopy is a standard diagnostic tool performed prior and after thyroid surgery, primarily to identify changes in vocal fold mobility. Although instrumental findings usually reveal non-specific alterations of swallowing; swallowing videofluoroscopy and esophageal manometry can be the most helpful tools in further management of thyroidectomy dysphagia. In patients with thyroidectomy-related swallowing difficulties and suspected laryngopharyngeal reflux, 24-hour MII-pH metry should be performed.

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Comparison of the Quality of Life for Thyroid Cancer Survivors Who Had Open Versus Robotic Thyroidectomy

Abstract: Robotic thyroidectomy shows comparable results to conventional open thyroidectomy in terms of the postoperative long-term QoL.

Cited by 30 publications

References 20 publications

Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery

Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery

Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

Thyroidectomy-related Swallowing Difficulties: Review of the Literature

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