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Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy.

Jandee Lee1, Kuk Young Nah, Ra Mi Kim

  • 1Department of Surgery, Ajou University School of Medicine, San 5, Wonchon-dong, Yeongtong-gu, Suwon, 443-721, South Korea. jandee@ajou.ac.kr

Surgical Endoscopy
|May 22, 2010
PubMed
Summary
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Robotic thyroidectomy offers better cosmetic results and less discomfort than open surgery, despite longer operating times. Patients reported higher satisfaction with robotic procedures, with fewer swallowing issues post-operation.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Robotic thyroidectomy via gasless transaxillary approach has gained popularity since 2008.
  • Comparison of robotic versus conventional open thyroidectomy outcomes is crucial.

Purpose of the Study:

  • To compare postoperative distress and patient satisfaction between robotic and open thyroidectomy.
  • To evaluate functional outcomes and cosmetic results.

Main Methods:

  • 84 patients prospectively enrolled: 41 robotic, 43 open thyroidectomy.
  • Follow-up for at least 3 months with videolaryngostroboscopy, pain/discomfort scales, voice/swallowing questionnaires, and cosmetic satisfaction assessment.

Main Results:

  • Robotic surgery had longer operating times but comparable pain and hospital stay.

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  • Significantly less neck discomfort and swallowing disturbances in the robotic group at 1 week and 3 months.
  • Higher cosmetic satisfaction scores in the robotic group at 3 months.

    • Conclusions:

    • Robotic thyroidectomy demonstrates superior cosmetic outcomes and reduced postoperative neck discomfort and swallowing issues compared to open surgery.
    • While operative time is longer, robotic thyroidectomy offers significant patient-centered advantages.
    • Postoperative pain and complication rates were similar between the two surgical approaches.