Ann Surg Treat Res.  2017 Jan;92(1):9-14. 10.4174/astr.2017.92.1.9.

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

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

• KMID: 2364708
• DOI: http://doi.org/10.4174/astr.2017.92.1.9

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.

Keyword

Carcinoma; Postoperative pain; Thyroid neoplasms

MeSH Terms

Humans
Length of Stay
Outcome Assessment (Health Care)
Pain, Postoperative*
Prospective Studies*
Shoulder
Surgeons
Thyroid Diseases
Thyroid Neoplasms
Thyroidectomy*
Visual Analog Scale

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