Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/17596
ชื่อเรื่อง: A comparison of efficacy and quality of life between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and endoscopic thyroidectomy axillo-breast approach (ETABA) in thyroid surgery: non-randomized clinical trial
ผู้แต่ง: Wongwattana P.
Laoveerakul P.
Santeerapharp A.
Keywords: adult
Article
clinical article
comparative effectiveness
controlled study
demography
endoscopic thyroidectomy axillo breast approach
endoscopic thyroidectomy vestibular approach
female
human
length of stay
lobectomy
operation duration
operative blood loss
pain assessment
patient preference
patient satisfaction
peroperative care
postoperative care
postoperative complication
quality of life
quality of life assessment
Short Form 36
thyroid surgery
visual analog scale
adverse event
clinical trial
endoscopy
parathyroid gland
thyroid gland
thyroid tumor
thyroidectomy
Endoscopy
Humans
Operative Time
Parathyroid Glands
Quality of Life
Thyroid Gland
Thyroid Neoplasms
Thyroidectomy
วันที่เผยแพร่: 2021
บทคัดย่อ: Purpose: Recently, there are many new surgical methods of endoscopic thyroidectomy, which have advantages in cosmetic results while do not increase the complication rates. This study was conducted to evaluate and compare both intra- and post-operative results and quality of life between TOETVA and endoscopic thyroidectomy axillo-breast approach (ETABA). Materials and methods: A non-randomized, patient preference clinical trial was performed in Otorhinolaryngology, Head and Neck surgery department, HRH Princess Maha Chakri Sirindhorn Medical center. Patients who decided to go for endoscopic thyroidectomy were allocated into two groups. Demographics data, operative time, intra-operative blood loss, post-operative pain score, length of hospital stay, complications were collected. Overall satisfaction was evaluated by visual analogue scale and quality of life was evaluated by SF-36 questionnaires. Results: 22 patients were totally included and equally allocated in 2 groups (11 patients per group). All of the operations were lobectomy. There was no significant difference in demographic data. The results showed that pain score at 3 days post-operation and average pain score were significantly higher in TOETVA group. Average pain score was 3.67 ± 1.11 in ETABA group and 5.15 ± 1.35 in TOETVA (p = 0.011); however, the operative time, intra-operative blood loss, length of hospital stay, complications and overall satisfaction were not significantly different. Different change in the quality of life was not detected in both groups. Conclusion: Transoral endoscopic thyroidectomy vestibular approach and ETABA both have comparable results and do not worsen the quality of life. © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.
URI: https://ir.swu.ac.th/jspui/handle/123456789/17596
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85100486089&doi=10.1007%2fs00405-021-06639-2&partnerID=40&md5=f7759529591faaeac4e945a0127d9500
ISSN: 9374477
Appears in Collections:Scopus 1983-2021

Files in This Item:
There are no files associated with this item.


Items in SWU repository are protected by copyright, with all rights reserved, unless otherwise indicated.