A comparison of postoperative pain after conventional open thyroidectomy and single-incision, gasless, endoscopic transaxillary thyroidectomy: a single institute prospective study.

Abstract:

PURPOSE:The aim of this study was to compare postoperative pain between single-incision, gasless, endoscopic transaxillary thyroidectomy (SET), and conventional open thyroidectomy. METHODS:From March to December 2015, patients with thyroid disease underwent total thyroidectomy or lobectomy. Patient's clinical and pathological characteristics, postoperative pain score using visual analog scale (VAS) were compared between the 2 groups. The primary endpoint was postoperative pain evaluated by VAS score and postoperative analgesic use. Operation time and length of postoperative hospital stay were secondary outcome measures. RESULTS:Conventional, open cervical surgery was performed on 30 patients (group O) and SET was performed on 27 patients (group E). Pain scores in shoulder area, which is the ipsilateral side of the tumor location at 1 hour and 24 hours after surgery, were higher in group E patients (P < 0.05). Pain scores 7 days after surgery did not differ between the 2 groups according to the locations (P < 0.05). CONCLUSION:In conclusion, endocrine surgeons should be concerned about immediate higher postoperative pain scores in patients who undergo SET.

journal_name

Ann Surg Treat Res

authors

Kang JB,Kim EY,Park YL,Park CH,Yun JS

doi

10.4174/astr.2017.92.1.9

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

9-14

issue

1

eissn

2288-6575

issn

2288-6796

journal_volume

92

pub_type

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