Comparing Video-Assisted Thyroid Surgery and Traditional Open Surgery
Author Information
Author(s): Ohara Kenzo, Kumai Takumi, Kishibe Kan, Yamaki Hidekiyo, Komatsuda Hiroki, Hayashi Tatsuya, Takahara Miki
Primary Institution: Asahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, Japan
Hypothesis
Does video-assisted thyroidectomy provide better outcomes compared to traditional open surgery?
Conclusion
Video-Assisted Neck Surgery (VANS) offers great cosmetic benefits and is comparable to traditional open surgery in terms of adverse events.
Supporting Evidence
- No significant differences were observed in adverse events between the two groups.
- Significant differences were observed in the maximum tumor diameter between the two groups.
- VANS technique could be a good option in thyroid lobectomy.
Takeaway
This study looked at two ways to remove thyroid tumors: one with small cuts and cameras, and the other with bigger cuts. Both ways worked well, but the smaller cut method looked nicer afterward.
Methodology
This retrospective study reviewed clinical records of 449 patients who underwent thyroid surgery, focusing on 136 patients with video-assisted lobectomy and 92 patients with traditional open surgery.
Potential Biases
The proficiency required for VANS may lead to bias as fewer surgeons performed this technique compared to TOS.
Limitations
The study had a relatively small number of patients and fewer operators in the VANS group compared to the TOS group.
Participant Demographics
The VANS group had 127 female patients with a mean age of 48.4 years, while the TOS group had 61 female patients with a mean age of 62.95 years.
Statistical Information
P-Value
p<0.0001
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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