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Quality of Life Following Robotic Transaxillary Versus Conventional Hemithyroidectomy: A Comparative Analysis.
Tzelnick, Sharon; Tsur, Nir; Amir, Ido; Mizrachi, Aviram; Watt, Torquil; Rabinovics, Naomi; Mamun, Yaakov; Yaniv, Dan; Bachar, Gideon; Najjar, Esmat.
Afiliación
  • Tzelnick S; Department of Otorhinolaryngology-Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.
  • Tsur N; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Amir I; Department of Otorhinolaryngology-Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.
  • Mizrachi A; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Watt T; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Rabinovics N; Department of Otorhinolaryngology-Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.
  • Mamun Y; Department of Endocrinology, National University Hospital, Copenhagen, Denmark.
  • Yaniv D; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Bachar G; Department of Otorhinolaryngology-Head and Neck Surgery, Samson Assuta Ashdod Hospital, Ashdod, Israel.
  • Najjar E; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Laparoendosc Adv Surg Tech A ; 33(1): 8-14, 2023 Jan.
Article en En | MEDLINE | ID: mdl-36322881
Background: Robotic technology has proven safe and effective for thyroidectomy procedures. Few studies have addressed the quality-of-life outcomes of robotic thyroidectomy compared with conventional thyroidectomy. Materials and Methods: The database of a tertiary medical center was retrospectively reviewed for all patients with thyroid disease who had undergone robotic hemithyroidectomy in 2012-2020. All patients treated by transaxillary robotic surgery and a similar number of randomly selected patients treated by conventional cervical surgery completed a standardized self-administered thyroid disease-specific quality-of-life (QOL) questionnaire (ThyPRO). Clinical data were derived from the medical files. The results were compared using mean comparison tests and multivariate logistic regression models. Results: The cohort consisted of 131 patients: 63 after robotic thyroidectomy and 68 after conventional thyroidectomy. The mean age was 38.87 ± 14.11 and 58.85 ± 14.1 years, respectively (P < .0001). The robotic hemithyroidectomy group reported better QOL outcomes in physical and mental health parameters, including decreased anxiety, depression, lower sex life impairment, and cognitive impairment scores (P < .0001). Furthermore, after adjusting for age, gender, malignancy status, and surgical approach, we found that patients undergoing robotic hemithyroidectomy had a lower probability of experiencing depressive symptoms than the conventional hemithyroidectomy group (odds ratio = 0.31; 95% confidence interval, 0.11-0.88). Of interest, no significant difference in cosmetic outcomes was found. Conclusions: Patients who underwent robotic thyroidectomy report better postoperative QOL after surgery than patients operated by the conventional approach in terms of anxiety, depression, cognitive and sex-life scores.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Tiroides / Neoplasias de la Tiroides / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Adult / Humans / Middle aged Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2023 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Tiroides / Neoplasias de la Tiroides / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Prognostic_studies Aspecto: Patient_preference Límite: Adult / Humans / Middle aged Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2023 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos