{"title":"Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience.","authors":"Kenzo Ohara, Takumi Kumai, Kan Kishibe, Hidekiyo Yamaki, Hiroki Komatsuda, Tatsuya Hayashi, Miki Takahara","doi":"10.1016/j.bjorl.2024.101539","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate and compare the outcomes of patients undergoing video-assisted thyroidectomy versus those undergoing traditional open surgery.</p><p><strong>Methods: </strong>In this retrospective study, we reviewed the clinical records of 449 patients who underwent thyroid surgery at our institution between April 2017 and March 2022. Of these, 209 underwent video-assisted thyroidectomy, while 248 underwent traditional open surgery. After excluding those who received total thyroidectomy, central node dissection, or lateral node dissection, we focused our analysis on 136 patients with video-assisted lobectomy and 92 patients with traditional open surgery. We compared patient outcomes, including surgical results and adverse events, between these groups.</p><p><strong>Results: </strong>Significant differences were observed in the maximum tumor diameter between the video-assisted lobectomy and traditional open surgery groups. However, no significant differences were noted in surgical time, bleeding, or adverse events.</p><p><strong>Conclusion: </strong>Video-Assisted Neck Surgery (VANS) offers great cosmetic benefits and is comparable to traditional open surgery in terms of adverse events.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"91 2","pages":"101539"},"PeriodicalIF":1.7000,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698927/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian Journal of Otorhinolaryngology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.bjorl.2024.101539","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience.
Objective: This study aimed to evaluate and compare the outcomes of patients undergoing video-assisted thyroidectomy versus those undergoing traditional open surgery.
Methods: In this retrospective study, we reviewed the clinical records of 449 patients who underwent thyroid surgery at our institution between April 2017 and March 2022. Of these, 209 underwent video-assisted thyroidectomy, while 248 underwent traditional open surgery. After excluding those who received total thyroidectomy, central node dissection, or lateral node dissection, we focused our analysis on 136 patients with video-assisted lobectomy and 92 patients with traditional open surgery. We compared patient outcomes, including surgical results and adverse events, between these groups.
Results: Significant differences were observed in the maximum tumor diameter between the video-assisted lobectomy and traditional open surgery groups. However, no significant differences were noted in surgical time, bleeding, or adverse events.
Conclusion: Video-Assisted Neck Surgery (VANS) offers great cosmetic benefits and is comparable to traditional open surgery in terms of adverse events.
期刊介绍：
Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance.
The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.
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