Do Hoon Koo1, Da Myoung Kim, June Young Choi, Kyu Eun Lee, Seong Ho Cho, Yeo-Kyu Youn. 1. *Department of Surgery, Seoul National University Boramae Medical Center §Department of Surgery, Seoul National University Bundang Hospital ∥Department of Surgery, Seoul National University Hospital #Cancer Research Institute, Seoul National University, College of Medicine ‡Department of Counseling, Graduate School of Counseling Psychology, The Catholic University of Korea ¶Division of Surgery, Thyroid Center, Seoul National University Cancer Hospital, Seoul †Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan **Department of Psychology, The Catholic University of Korea, Bucheon, Korea.
Abstract
PURPOSE: Oncologic and surgical outcomes of bilateral axillo-breast approach (BABA) robotic thyroidectomy (RoT) are comparable with those of open thyroidectomy (OT). We compared degree of scarring and psychological/physical distress between OT and BABA RoT. MATERIALS AND METHODS: Study included 129 cases of thyroidectomy (78 OT, 51 BABA RoT). Patients were evaluated by psychology consultant using 5-point scale questionnaire. RESULTS: BABA RoT was associated with lower degree of scarring than OT (7.8 vs. 11.7, P<0.001). Psychological distress immediately after operation and during surveillance period was higher in OT than in BABA RoT (3.1 vs. 2.6, P=0.009 and 2.4 vs. 1.9, P<0.001). Physical distress (pain and exercise limitation) did not differ between groups (2.5 vs. 2.6, P=0.321 and 2.0 vs. 1.9, P=0.0175). CONCLUSIONS: BABA RoT was associated with less scarring and psychological distress than OT. BABA RoT might be alternative for patients who are concerned about neck scar.
PURPOSE: Oncologic and surgical outcomes of bilateral axillo-breast approach (BABA) robotic thyroidectomy (RoT) are comparable with those of open thyroidectomy (OT). We compared degree of scarring and psychological/physical distress between OT and BABA RoT. MATERIALS AND METHODS: Study included 129 cases of thyroidectomy (78 OT, 51 BABA RoT). Patients were evaluated by psychology consultant using 5-point scale questionnaire. RESULTS: BABA RoT was associated with lower degree of scarring than OT (7.8 vs. 11.7, P<0.001). Psychological distress immediately after operation and during surveillance period was higher in OT than in BABA RoT (3.1 vs. 2.6, P=0.009 and 2.4 vs. 1.9, P<0.001). Physical distress (pain and exercise limitation) did not differ between groups (2.5 vs. 2.6, P=0.321 and 2.0 vs. 1.9, P=0.0175). CONCLUSIONS: BABA RoT was associated with less scarring and psychological distress than OT. BABA RoT might be alternative for patients who are concerned about neck scar.
Authors: June Young Choi; In Eui Bae; Hyun Soo Kim; Sang Gab Yoon; Jin Wook Yi; Hyeong Won Yu; Su-Jin Kim; Young Jun Chai; Kyu Eun Lee; Yeo-Kyu Youn Journal: Ann Surg Treat Res Date: 2020-05-28 Impact factor: 1.859