Related Experiment Video
Updated: Jun 7, 2026
04:01
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Flapless conventional thyroidectomy: a prospective, randomized study
Erdinc Kamer1, Haluk Unalp, Hayrullah Derici
1Department of General Surgery, Izmir Ataturk Training and Research Hospital, 35360, Basinsitesi, Izmir, Turkey.
Surgery Today
|November 4, 2010
Summary
A flapless thyroidectomy reduces postoperative pain and analgesic requirements compared to conventional thyroid surgery. This technique is safe, feasible, and offers a viable alternative for patients undergoing thyroidectomy.
Area of Science:
- Endocrine Surgery
- Surgical Oncology
- General Surgery
Background:
- Conventional thyroidectomy often involves cutaneous flaps, but their benefit is debated.
- This study investigates a flapless approach to conventional thyroidectomy.
Purpose of the Study:
- To evaluate the efficacy and safety of a flapless conventional thyroidectomy.
- To compare the outcomes of flapless versus conventional thyroidectomy with flaps.
Main Methods:
- A randomized controlled trial involving 142 patients undergoing thyroidectomy.
- Group 1 (n=70) had conventional thyroidectomy with flaps; Group 2 (n=70) had flapless conventional thyroidectomy.
Main Results:
- No significant differences in patient demographics, incision length, gland volume, or hospital stay.
- Flapless thyroidectomy (Group 2) resulted in significantly less postoperative pain and reduced need for analgesics.
- Low rates of vocal cord paralysis (1.4%), hypocalcemia (1.4%), and wound complications (3.6%) were observed.
Conclusions:
- Flapless thyroidectomy is a safe and technically feasible procedure.
- It offers advantages in terms of reduced postoperative pain and analgesic use.
- This approach presents a potential alternative to conventional thyroidectomy with flaps.
