Robotic Thyroidectomy Decreases Postoperative Pain Compared With Conventional Thyroidectomy
- Authors
- Kim, M.K.; Kang, H.; Choi, G.J.; Kang, K.H.
- Issue Date
- Aug-2019
- Publisher
- Lippincott Williams and Wilkins
- Keywords
- anesthesia; endocrine; head and neck; laparoscopy; thyroidectomy
- Citation
- Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, v.29, no.4, pp 255 - 260
- Pages
- 6
- Journal Title
- Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
- Volume
- 29
- Number
- 4
- Start Page
- 255
- End Page
- 260
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/33151
- DOI
- 10.1097/SLE.0000000000000689
- ISSN
- 1530-4515
1534-4908
- Abstract
- Background: This retrospective study compared postoperative pain between patients undergoing open thyroidectomy (OT) and bilateral axillo-breast approach (BABA) robotic thyroidectomy (RT). Materials and Methods: We analyzed the electronic medical records of 1269 patients who underwent OT or RT at Chung-Ang University Hospital between January 1, 2010 and April 30, 2016. On the basis of the surgical procedure performed, patients were categorized into an OT (n=1128) and a BABA RT (BRT) group (n=141). On the basis of covariates, patients in these groups were matched using propensity score matching (n=86 in each group). Results: After propensity score matching, no intergroup differences were observed in the covariates. The visual analogue scale scores for pain on postoperative day 0 were lower in the BRT than in the OT group (2.57±0.95 vs. 2.28±0.95, P=0.040). However, no statistically significant differences were observed in the use of rescue analgesics, the numerical rating scale score for nausea, and the use of rescue antiemetics. Conclusions: Pain on postoperative day 0 was lesser in the BRT than in the OT group. Similarly, the severity of nausea was lesser in the BRT group, despite longer operation time and broad dissection performed for docking the robotic arms. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > College of Medicine > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.