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A Comparison of Postoperative Pain After Conventional Open Thyroidectomy and Transaxillary Single-Incision Robotic Thyroidectomy: A Prospective Study

Authors
 Haeng Rang Ryu  ;  Jandee Lee  ;  Jae-Hyun Park  ;  Sang-Wook Kang  ;  Jong Ju Jeong  ;  Jeong-Youn Hong  ;  Woong Youn Chung 
Citation
 Annals of Surgical Oncology, Vol.20(7) : 2279-2284, 2013 
Journal Title
 Annals of Surgical Oncology 
ISSN
 1068-9265 
Issue Date
2013
MeSH
Adult ; Analgesics, Non-Narcotic/therapeutic use ; Analgesics, Opioid/therapeutic use ; Analysis of Variance ; Carcinoma/surgery* ; Carcinoma, Papillary ; Endoscopy/adverse effects* ; Female ; Fentanyl/therapeutic use ; Humans ; Ibuprofen/therapeutic use ; Male ; Middle Aged ; Neck Dissection ; Pain Measurement ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology* ; Patient Preference ; Robotics ; Thyroid Neoplasms/surgery* ; Thyroidectomy/adverse effects* ; Thyroidectomy/methods* ; Time Factors ; Tramadol/therapeutic use
Keywords
Postoperative Pain ; Papillary Thyroid Carcinoma ; Recurrent Laryngeal Nerve ; Robotic Group ; Endoscopic Thyroidectomy
Abstract
BACKGROUND: The aim of this study was to compare conventional open thyroidectomy with robotic thyroidectomy in terms of postoperative pain. METHODS: We compared the intensity of postoperative pain experienced by patients who received conventional open thyroidectomy (n = 45) versus those who underwent robotic thyroidectomy (n = 45). During surgery, we carefully controlled the anesthetic conditions. All the patients underwent a total thyroidectomy with ipsilateral central compartment node dissection. Postoperative pain in the 2 groups was compared using a visual analog scale and the amount of rescue analgesic at 30 min, 4 h, 1, 2, 3, and 10 days after surgery. RESULTS: The postoperative pain at 30 min and 4 h after surgery were 3.0 ± 0.9 and 2.6 ± 0.9 (p = .066) and 4.9 ± 1.3 and 4.4 ± 1.3 (p = .055) in the conventional open group and the robotic group, respectively. The mean pain scores at 1, 2, 3, and 10 days after surgery were 3.8 ± 1.3 and 3.0 ± 1.3 (p = .001), 2.6 ± 1.2 and 2.0 ± 0.9 (p = .005), 1.7 ± 0.9 and 1.3 ± 0.6 (p = .034), and 0.9 ± 0.7 and 1.2 ± 1.1 (p = .093), respectively. No significant differences were observed between the 2 groups in terms of postoperative rescue analgesic use (1.1 ± 1.1 and 0.8 ± 0.9, p = .264). CONCLUSIONS: Even though robotic thyroidectomy using the transaxillary technique requires a more extensive subcutaneous dissection than conventional open thyroidectomy, robotic thyroidectomy does not result in more postoperative pain or use of analgesic when compared with open thyroidectomy.
Full Text
http://link.springer.com/article/10.1245%2Fs10434-012-2557-2
DOI
10.1245/s10434-012-2557-2
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Sang Wook(강상욱) ORCID logo https://orcid.org/0000-0001-5355-833X
Ryu, Haeng Rang(유행랑)
Chung, Woung Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
Hong, Jeong Yeon(홍정연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87596
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