Sohee Lee1, Ha Yan Kim2, Cho Rok Lee3, Seulkee Park4, Haiyoung Son3, Sang-Wook Kang3, Jong Ju Jeong3, Kee-Hyun Nam3, Woong Youn Chung5, Cheong Soo Park3. 1. Department of Surgery, The Catholic University of Korea, Seoul, Korea. 2. Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea. 3. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. 4. Department of Surgery, Dong-A University College of Medicine, Busan, Korea. 5. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. Electronic address: woungyounc@yuhs.ac.
Abstract
BACKGROUND: Body image is associated with self-esteem and identity and has a close relationship with quality of life (QoL). We compared the impact of surgical scars on the patient's perception of body image between conventional open thyroidectomy (OT) and robotic thyroidectomy (RT) in female papillary thyroid carcinoma patients. METHODS: From October 2009 to December 2010, we enrolled prospectively 116 papillary thyroid carcinoma patients who underwent total thyroidectomy at the Yonsei University Health System (Seoul, Korea). Of these 116 patients, 56 had OT and 60 RT. Their scars were assessed using the Vancouver Scar Scale (VSS), and psychometric properties were evaluated using the Body Image Scale (BIS) questionnaire postoperatively. Both groups were compared using cross-sectional and time-series methods. RESULTS: Mean age was significantly younger in the RT group. Regarding scar quality, the OT group showed superiority in scar pigmentation and the total VSS score during the early postoperative period, but the VSS score improved over time and was similar between both groups at 9 months. The RT group had better scores regarding most of the BIS items, a trend that remained relatively constant over time. In patients with noticeable scars (VSS ≥ 2) at 9 months, the RT group had better BIS scores regarding almost all items, including "self-conscious," "physical attractiveness," "feeling of less feminine," "sexual attractiveness," "dissatisfaction with body, scar and appearance when dressed," and "avoidance of people due to appearance." CONCLUSION: RT provides a better self-body image and improves QoL compared with conventional OT by avoiding a noticeable cervical scar.
BACKGROUND: Body image is associated with self-esteem and identity and has a close relationship with quality of life (QoL). We compared the impact of surgical scars on the patient's perception of body image between conventional open thyroidectomy (OT) and robotic thyroidectomy (RT) in female papillary thyroid carcinomapatients. METHODS: From October 2009 to December 2010, we enrolled prospectively 116 papillary thyroid carcinomapatients who underwent total thyroidectomy at the Yonsei University Health System (Seoul, Korea). Of these 116 patients, 56 had OT and 60 RT. Their scars were assessed using the Vancouver Scar Scale (VSS), and psychometric properties were evaluated using the Body Image Scale (BIS) questionnaire postoperatively. Both groups were compared using cross-sectional and time-series methods. RESULTS: Mean age was significantly younger in the RT group. Regarding scar quality, the OT group showed superiority in scar pigmentation and the total VSS score during the early postoperative period, but the VSS score improved over time and was similar between both groups at 9 months. The RT group had better scores regarding most of the BIS items, a trend that remained relatively constant over time. In patients with noticeable scars (VSS ≥ 2) at 9 months, the RT group had better BIS scores regarding almost all items, including "self-conscious," "physical attractiveness," "feeling of less feminine," "sexual attractiveness," "dissatisfaction with body, scar and appearance when dressed," and "avoidance of people due to appearance." CONCLUSION: RT provides a better self-body image and improves QoL compared with conventional OT by avoiding a noticeable cervical scar.
Authors: Hyungju Kwon; Jin Wook Yi; Ra-Yeong Song; Young Jun Chai; Su-jin Kim; June Young Choi; Kyu Eun Lee Journal: World J Surg Date: 2016-03 Impact factor: 3.352
Authors: Valeria Matteucci; Dan Bai; Lorenzo Fregoli; Piermarco Papini; Aleksandr Aghababyan; Giovanni Docimo; Paolo Miccoli; Gabriele Materazzi Journal: Updates Surg Date: 2020-05-12